Spontaneous bacterial peritonitis (SBP) is defined as an ascitic fluid infection without an evident intra-abdominal surgically treatable source [1]. The presence of SBP, which almost always occurs in patients with cirrhosis and ascites, is suspected because of signs and symptoms such as fever, abdominal pain, or altered mental status (table 1).

Identify the pathogenesis of spontaneous bacterial peritonitis (SBP). Explain the clinical presentation of SBP. Describe the various types of diagnostic testing available for identifying and assessing a course of SBP. Differentiate between primary SBP and secondary peritonitis.

Spontaneous bacterial peritonitis (SBP) is infection of ascitic fluid without an apparent source. Manifestations may include fever, malaise, and symptoms of ascites and worsening hepatic failure. Diagnosis is by examination of ascitic fluid. Treatment is with cefotaxime or another antibiotic. (See also Ascites.)

2023年11月29日 · Spontaneous bacterial peritonitis (SBP) is a common infection in this setting which occurs in the absence of an obvious source of infection. Presence of fever or hypothermia, chills, and localizing symptoms should raise suspicion for bacterial infection.

Primary prophylaxis of SBP is justified for patients with high risk for developing SBP. A meta-analysis of ATB prophylaxis in cirrhotic patients with GI hemorrhage (5 RCT; n = 534) revealed 32% reduction of infections including SBP and/or bacteremia (P < 0.001) and 9% increase in survival (P = 0.004).

Spontaneous bacterial peritonitis (SBP) is a frequent and severe complication of cirrhotic patients with ascites. Much information regarding SBP has appeared during recent years, particularly on aspects involving the management of this complication.

2023年1月20日 · SBP is defined as ascitic fluid polymorphonuclear leukocyte (PMN) count level greater than or equal to 250 cells/µL without a surgical, intra-abdominal cause of...

Health care-associated and nosocomial SBP infections should prompt greater vigilance and consideration for alternative antibiotic coverage. Acid suppressive and beta-adrenergic antagonist therapies are strongly associated with SBP in at-risk individuals.

2015年1月3日 · Spontaneous bacterial peritonitis (SBP) is an acute bacterial infection of ascitic fluid. Generally, no source of the infecting agent is easily identifiable, but...

2023年12月4日 · Spontaneous bacterial peritonitis (SBP) is defined as an ascitic fluid infection without an evident intra-abdominal surgically treatable source [1]. The presence of SBP, which almost always occurs in patients with cirrhosis and ascites, is suspected because of signs and symptoms such as fever, abdominal pain, or altered mental status (table 1).