Hemodialysis with Polysulfone Membrane for Vancomycin Overdose in a Child with Acute Renal Failure Already on Acute Peritoneal Dialysis

A 26-month-old girl who had acute renal failure after a major cardiac operation received an accidental 4-fold vancomycin dose. She was already on peritoneal dialysis when the error in vancomycin dose and high serum vancomycin levels were fi rst noticed. Optimal venovenous hemodiafi ltration fi lter or high-fl ux membrane could not be provided for her, but she benefi ted from hemodialysis with a conventional polysulfone membrane. We presented this case to emphasize that conventional hemodialysis may be benefi cial for vancomycin overdose when optimal treatment modalities cannot be attained, contrary to what has been thought before,