Meropenem Continuous Infusion in a Septic Patient with Periprosthetic Infection and End-Stage Renal Disease Undergoing Prolonged Intermittent Renal Replacement Therapy
Kadralinova A. Konkayeva M. Dzhandayev S. Konkayev A.
January 2025Multidisciplinary Digital Publishing Institute (MDPI)
Medicina (Lithuania)
2025#61Issue 1
This case report highlights the use of continuous infusion of meropenem in a 42-year-old septic female patient with periprosthetic infection and end-stage renal disease receiving prolonged intermittent renal replacement therapy (PIRRT). Antibiotic infusion in patients receiving renal replacement therapy has its own peculiarities. There are many studies on the optimal dosing regimen for meropenem in renal dysfunction, but studies on the optimal infusion duration in these patients are limited. The patient was admitted with complaints of wounds, necrosis zones of the right upper limb, restriction of joint movements, and temperature increase up to 38 °C. The patient was treated with a continuous infusion of meropenem 2 g per day receiving renal replacement therapy three times a week (12 h). Also during hospitalization, the patient underwent hip disarticulation and excision of necrotic tissues. The patient was further transferred to a specialized nephrology department for further treatment. We believe that in this clinical case, the use of continuous infusion of meropenem in the complex therapy of sepsis in a patient with CKD undergoing PIRRT sessions helped to lead to clinical improvement in the patient. Further studies are needed.
case report , end-stage kidney disease , infection , meropenem continuous infusion , PIRRT , sepsis
Text of the article Перейти на текст статьи
Department of Anesthesiology and Intensive Care, Astana Medical University, Astana, 010000, Kazakhstan
Department of Anesthesiology and Intensive Care, National Scientific Center of Traumatology and Orthopedics Named After Academician N.D. Batpenov, Astana, 010000, Kazakhstan
Department of Infectious Diseases and Clinical Epidemiology, Astana Medical University, Astana, 010000, Kazakhstan
Department of Ear, Nose, Throat Diseases, Astana Medical University, Astana, 010000, Kazakhstan
Department of Anesthesiology and Intensive Care
Department of Anesthesiology and Intensive Care
Department of Infectious Diseases and Clinical Epidemiology
Department of Ear
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026