PD line infection

I have peritonitis and it’s in my line they want to remove it and my fluid is clear no symptoms they did 5 cultures came back 1 bottle with a cluster of cocci
They want to take it out and leave it out then maybe replace it in a month after the infection is cleared up so 2-3 more surgeries not happy about this because it was working so well
Anyone have any suggestions or new procedures that can clear it up without surgery

If the cell count still shows peritonitis after antibiotic treatment, but there is no ID on the culture, or if repeat infections occur (without contamination) that are from the same cultured organism, the assumption is that the catheter material has become “seeded” and will continue to cause infections since the catheter itself is now harboring the bug. Sometimes, it’s not even a bacteria. Sometimes, it’s a fungal infection. Without knowing more specifics, it sounds to me like this is something like what your team believes is going on. The usual action plan for this is to remove the catheter (as it is now the source of the infection), allow it to heal, and then place a new catheter. Sometimes, a catheter can be removed and a new one placed in a different location at the same time, but if the fluid is still showing infection, the new catheter could become “seeded” too, and the whole process can repeat itself. You can request a final cell count and culture, and you can review the results with your team and ask them to show and explain the reasons for this recommendation in your specific case. If what I suspect is true, removing the catheter and fully resolving the infection and then trying PD again is correct in theory. I am sorry the solution to get you back to where you want to be may involve interventions you do not want. That is very difficult, but the most pressing priority in this situation is to get rid of the infection and keep you safe, first. I encourage you to discuss this more with your team and ask them if there is anything else that could be tried. Hopefully you can have a clear conversation and all be on the same page about the decisions that are made.