Скачать или смотреть Spontaneous bacterial peritonitis

spontaneous bacterial peritonitis

Sbp is usually seen in patients with ascites.the most common organism causing sbp is e-coli others are klebsiella and streptococcus.main pathology behind the development of sbp is translocation of gut flora.

Diagnosis is made by paracentesis finding, neutrophils more than 250 in paracentesis fluid with mono microbial culture is strongly suggestive of sbp where as polymicrobial culture suggest secondary bacterial peritonitis.

Treatment is cefottaxime plus iv albumin, albumin is given to prevent hepatorenal syndrome.
Prophylaxis is mainly by using norfloxacin.

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