Antibiotic management of infected vascular access

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.