2023年4月17日 · diagnostic criteria for SBP. Three criteria are required: (1) Chronic underlying cirrhosis. (2) Ascites neutrophil count >250/mm3. (3) Exclusion of secondary bacterial peritonitis (discussed in the section above). Ascitic fluid cultures are often negative, so SBP may be diagnosed without microbiological proof of infection.

2023年8月30日 · This topic will review the diagnosis of SBP, as well as distinguishing SBP from secondary bacterial peritonitis or alcoholic hepatitis with ascites. The performance of paracentesis, the pathogenesis, clinical manifestations, and treatment of SBP, and the general evaluation of adults with ascites are discussed elsewhere.

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).

Although not the diagnostic test of choice, acute abdominal CT of SBP (top images) shows ascites and thickened intestinal wall (arrowhead). Bottom images show resolution after discharge. Consider alternative diagnoses at the same time

2023年8月8日 · Spontaneous bacterial peritonitis (SBP) is a term used to describe acute infection of ascites, an abnormal accumulation of fluid in the abdomen without a distinct or identifiable source of infection.[1][2] SBP virtually always occurs in patients with cirrhosis and ascites and is suspected when the patients present with abdominal pain, fever, or ...

Ascitic fluid analysis is the gold standard for the confirmation of the diagnosis of spontaneous bacterial peritonitis. Ascitic fluid culture is negative in up to 60% of patients with clinical manifestations of spontaneous bacterial peritonitis (SBP).

2014年3月20日 · Spontaneous bacterial peritonitis (SBP) is due to bacterial infection of the peritoneum. The clinical presentation is variable. Lab diagnostics rely on neutrophil count in peritoneal fluid and peritoneal fluid culture. Automatic cell counting in ascites is a reliable approach for early screening.

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.)

SBP is generally diagnosed based on an increased number of polymorphonuclear neutrophils in the ascitic fluid (>250/mm 3), and the identification of the causal pathogen may not be given consideration. We newly developed an in situ hybridization (ISH) method to provide early and direct evidence of bacterial infection in ascites in patients with SBP.

Spontaneous bacterial peritonitis (SBP) is a potentially life-threatening complication of ascites diagnosed by paracentesis. We determined predictors of SBP to facilitate patient selection. The 301 paracenteses performed in 119 patients (51 women, 68 men) from July to November 2015 were retrospectively reviewed.