Spontaneous Bacterial Peritonitis Flashcards
1
Q
What is it?
A
Development of a bacterial infection in the peritoneum, despite the absence of an obvious source for the infection
2
Q
What are the common organisms involved?
A
E. coli
Klebsiella
Streptococci
3
Q
What is the typical presentation?
A
Abdominal pain
Fever, rigors
Renal impairment
Signs of sepsis: tachycardia, temperature
4
Q
Who should this be considered in?
A
Must be considered in any patient with ascites (swollen abdomen) who deteriorates suddenly
5
Q
How is it investigated?
A
Ascitic tap
6
Q
How is it diagnosed?
A
Neutrophil count >0.25x109/L
Protein <25g/L
7
Q
What should be excluded?
A
Surgical causes of peritonitis
8
Q
What is the treatment?
A
IV antibiotics: needs aggressive treatment
Ascitic fluid drainage
IV albumin infusion (20% ALBA)
