Hospital de la Fuerza Aérea, Santiago de Chile
Sir,
We would like to make the following comments on the recently published article by Peleman et al. [1] in Nephrology Dialysis Transplantation.
First, the authors did not make a distinction between care of ambulatory patients and those who were hospitalized. Second, they did not make a distinction between patients with or patients without particular risk factors for infection [2].
In our opinion, infections in patients with acute renal failure preclude the use of gentamicin. We recommend the use of ciprofloxacin in this setting.
Fogel et al. [3] recommend the use of cefazolin for out-patients, whereas Peleman et al. omitted this suggestion. Do they think that this drug should not be given?
We doubt that the recommendation on catheter salvage in a rather limited number of cases (n=13) has any statistical value.
References