Peritonitis secondary prevention: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Peritonitis}} | {{Peritonitis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{SCh}} | ||
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==Overview== | ==Overview== | ||
==Secondary Prevention== | ==Secondary Prevention== | ||
*PBP has a high rate of recurrence. | |||
*Up to 70% of patients experience a recurrence within 1 year. | |||
*Antibiotic prophylaxis is recommended for patients with a history of PBP to reduce this rate to <20% and improve short-term survival rates. | |||
*Prophylactic regimens for adults with normal renal function include | |||
fluoroquinolones (ciprofloxacin, 750 mg weekly; norfloxacin, 400 mg/d) or | |||
trimethoprim-sulfamethoxazole (one double-strength tablet daily). | |||
*However, long-term administration of broad-spectrum antibiotics has been shown to increase the risk of severe infections by multi-drug resistant organisms. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WS}} | {{WS}} | ||
{{WH}} | {{WH}} | ||
Latest revision as of 19:49, 12 January 2017
|
Peritonitis Main Page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]
Overview
Secondary Prevention
- PBP has a high rate of recurrence.
- Up to 70% of patients experience a recurrence within 1 year.
- Antibiotic prophylaxis is recommended for patients with a history of PBP to reduce this rate to <20% and improve short-term survival rates.
- Prophylactic regimens for adults with normal renal function include
fluoroquinolones (ciprofloxacin, 750 mg weekly; norfloxacin, 400 mg/d) or trimethoprim-sulfamethoxazole (one double-strength tablet daily).
- However, long-term administration of broad-spectrum antibiotics has been shown to increase the risk of severe infections by multi-drug resistant organisms.