You may need to be hospitalized for peritonitis that's caused by infection from other medical conditions (secondary peritonitis). Treatment may include:
- Antibiotics. You'll likely be given a course of antibiotic medication to fight the infection and prevent it from spreading. The type and duration of your antibiotic therapy depend on the severity of your condition and the kind of peritonitis you have.
- Surgery. Surgical treatment is often necessary to remove infected tissue, treat the underlying cause of the infection, and prevent the infection from spreading, especially if peritonitis is due to a ruptured appendix, stomach or colon.
- Other treatments. Depending on your signs and symptoms, your treatment while in the hospital may include pain medications, intravenous (IV) fluids, supplemental oxygen and, in some cases, a blood transfusion.
If you're undergoing peritoneal dialysis
If you have peritonitis, your doctor may recommend that you receive dialysis in another way for several days while your body heals from the infection. If peritonitis persists or recurs, you may need to stop having peritoneal dialysis entirely and switch to a different form of dialysis.
March 31, 2015
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- Ferri FF. Peritonitis, secondary. In: Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2015. https://www.clinicalkey.com. Accessed March 12, 2015.
- Treatment methods for kidney failure: Peritoneal dialysis. National Kidney and Urologic Diseases Information Clearinghouse (NKUDIC). http://kidney.niddk.nih.gov/KUDiseases/pubs/peritoneal/index.aspx. Accessed March 13, 2015.
- Runyon BA. Spontaneous bacterial peritonitis in adults: Treatment and prophylaxis. http://www.uptodate.com/home. Accessed March 12, 2015.
- Acute abdominal pain. The Merck Manual Professional Edition. http://www.merckmanuals.com/professional/gastrointestinal_disorders/acute_abdomen_and_surgical_gastroenterology/acute_abdominal_pain.html?qt=&sc=&alt=. Accessed March 12, 2015.
- Picco MF (expert opinion). Mayo Clinic, Rochester, Minn. March 24, 2015.
- Doherty GM, ed. Peritoneal Cavity. In: Current Diagnosis & Treatment: Surgery. 13th ed. New York, N.Y.: The McGraw-Hill Companies; 2010. http://www.accessmedicine.com. Accessed March 13, 2015.
- Goel GA, et al. Increased rate of spontaneous bacterial peritonitis among cirrhotic patients receiving pharmacologic acid suppression. Clinical Gastroenterology and Hepatology. 2012;10:422.
- Burkart JM, et al. Tunnel and peritoneal catheter exit site infections in continuous peritoneal dialysis. http://www.uptodate.com/home. Accessed March 13, 2015.
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