spontaneous bacterial peritonitis


Also found in: Acronyms, Wikipedia.

spontaneous bacterial peritonitis

Spontaneous peritonitis Critical care A severe acute infection of the peritoneum that accompanies end-stage liver disease and ascites Agents E coli, Klebsiella spp, S pneumoniae, Enterococcus faecalis Clinical Abdominal pain, ascites, chills, encephalopathy, fever, rebound tenderness Lab Ascitic fluid has > 500–often 10,000+ PMNs/mm3, protein > 1.0 g/dL, monomicrobials; 40% are culture-negative Risk factors Cirrhosis, nephrotic syndrome, peptic ulcer disease, appendicitis, diverticulitis Treatment 3rd-generation cephalosporins–eg, cefotaxime, + IV albumin Mortality 30-40%, less if treated early, worse if accompanied by signs of poor liver function–eg, upper GI bleeding, BR > 8 mg/dL, serum albumin < 2.5 g/dL, hepatic encephalopathy, hepatorenal syndrome. See Peritonitis.
Mentioned in ?
References in periodicals archive ?
Diagnosis, treatment and prophylaxis of spontaneous bacterial peritonitis : a consensus document.
Patients (10%) were found to have spontaneous bacterial peritonitis evident by absolute neutrophilic count greater than 250/mm3.
Arroyo et al., "Effect of intravenous albumin on renal impairment and mortality in patients with cirrhosis and spontaneous bacterial peritonitis," The New England Journal of Medicine, vol.
To study clinical profile of spontaneous bacterial peritonitis and its variants.
Spontaneous bacterial peritonitis (SBP) was first described by Conn in 19642.
When you see a patient who is admitted with liver failure from cirrhosis and has ascites, who is not bleeding but is deteriorating and whose kidney and liver function tests are going downhill, think all the time of spontaneous bacterial peritonitis, he advised.
A diagnosis of spontaneous bacterial peritonitis associated with alcoholic liver cirrhosis was made, and the patient was treated with 2 g/day of ceftriaxone.
Improved method for bacteriolopgical diagnosis of spontaneous bacterial peritonitis. J Clin Microbiol.
suis infection has been associated with bacterial meningitis, septic shock, arthritis, pneumonia, endocarditis, endophthalmitis, and spontaneous bacterial peritonitis (2,3).
Patients with spontaneous bacterial peritonitis had the highest case-fatality rate (50%), followed by necrotizing fasciitis (40.5%).
The organism has been implicated in bacteremia (3,4), meningitis (5), septic arthritis (6), enterocolitis (7), spontaneous bacterial peritonitis (8), post-traumatic brain abscess (9), and pneumonia (4).

Full browser ?