How to treat peritonitis?

Once the suspect with peritonitis, they should immediately do the same inspection, the result is that the report should begin before the treatment, treatment programs are as follows : (1) The initial treatment : the dialysate of pathogens training pending the result of broad-spectrum antibiotics should be used. including the administration of intraperitoneal and intravenous administration, intraperitoneal administration of effective and convenient. For dregs smear for Gram-positive bacterial infections, the first-generation cephalosporins such as cefazolin can be used as the first choice, the first dosage of 500 mg / L, followed by 125 mg / L to maintain. Such as Gram-negative bacilli, it is appropriate amino-glycosides of antibiotics, such as gentamicin, tobramycin, first dosage 1.5 ~ 2.0 mg / L, to maintain a capacity of 6 ~ 8 mg / L. These can be combined application of two types of drugs. (2) the adjustment of antibiotics : cultured pathogens and antimicrobial susceptibility test results report, the choice should be based on effective antibiotic susceptibility, Usually 10 days can be. Fungal peritonitis poor treatment, the once diagnosed, the best of catheter removal, following the use of medication. As effective antibiotic treatment for 48 hours, the majority of patients, a significant improvement in symptoms occasionally continued for more than 48 hours. If the 96 hours after the patient's condition no noticeable improvements, should re-assess conditions and adjust treatment programs. 