Spontaneous Bacterial Peritonitis

Question 1

What is Spontaneous Bacterial peritonitis?

Answer 1

Form of peritonitis caused by an infection of ascitic fluid in the peritoneal cavity

Question 2

Who is SBP usually seen in?

Answer 2

Patients with ascites secondary to liver cirrhosis.

Question 3

What are the main features of SBP?

Answer 3

ascites
abdominal pain
fever

Question 4

How is SBP usually diagnosed?

Answer 4

Paracentesis

Question 5

What is found in a paracentesis that would indicate SBP?

Answer 5

Neutrophil count > 250 cells/ul

Question 6

What organism commonly causes SBP?

Answer 6

E.coli

Question 7

What is the management of SBP?

Answer 7

IV cefotaxime

Question 8

When would you give antibiotic prophylaxis for someone with SBP?

Answer 8

If the person has had a
-a previous episode of SBP
-cirrhosis and ascites

Question 9

What is a marker of poor prognosis in someone with SBP?

Answer 9

Alcoholic liver disease

Question 10

What are patients with spontaneous bacterial peritonitis at risk of?

Answer 10

Renal impairment

Question 11

What can be prescribed to reduce the risk of renal impairment?

Answer 11

Human albumin solution