Bacterial Peritonitis



Bacterial Peritonitis





(Hepatology 2000;32:142-53)































Type

Ascites Cell Count/mm3

Ascites Culture


Sterile

<250 polys

−


SBP

>250 polys

+ (one organism)


(CNNA) Culture-neg Neutrocytic ascites

>250 polys

−


(NNBA) Non-neutrocytic bacterascites

<250 polys

+ (one organism)


Secondary

>250 polys

+ (polymicrobial)


Peritoneal dialysis-associated

>100 (mostly PMNs).

+



SPONTANEOUS BACTERIAL PERITONITIS (SBP)


Epidemiology:



  • Occurs in 10-30% of inpatient cirrhotics and <4% of outpatient cirrhotics


Etiologies:



  • Risk factors:



    • Cirrhotic patients with GI bleed


    • Ascites fluid total protein (AFTP) <1.0 g/dl (i.e. Low AFTP)


    • Serum bilirubin >2.5 mg/dl or Platelets <98 K


    • Prior SBP


    • Fulminant hepatic failure

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Aug 24, 2016 | Posted by in GASTROENTEROLOGY | Comments Off on Bacterial Peritonitis

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