Spontaneous Bacterial Peritonitis Flashcards
1
Q
Most important risk factor for SBP?
A
Ascites
2
Q
Presentation of SBP?
A
Severe generalised abdo pain Worsening ascites Vomiting Fever Rigors
3
Q
Progression of SBP?
A
Rapid decompensation of liver disease (acute deterioration in liver function)
Hepatic encephalopathy
Death
4
Q
Diagnosis process of SBP?
A
Paracentesis (sample of ascitic fluid taken by needle)
Fluid analysed for WCC, glucose, protein
WCC >250 cells/mm^3 then give IV antibiotics
5
Q
Treatment of SBP?
A
WCC >250 cells/mm^3 give IV antibiotics
Human albumin solution if intravascular fluid volume needs restored
Prophylactic oral antibiotics (history of SBP episode(s) or at high risk of developing SBP)
6
Q
Prognosis of SBP?
A
Development of an episode indicates a poor long-term prognosis
