Peritonitis primary prevention: Difference between revisions

	Peritonitis Main Page
Patient Information
Overview
Causes
Classification Spontaneous Bacterial Peritonitis Secondary Peritonitis
Differential Diagnosis

Latest revision as of 19:46, 12 January 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]

Prevention depends on the cause and the specific type of peritonitis.

A 2012 guideline from the American Association for the Study of Liver Diseases recommends( chronic antibiotic prophylaxis with a regimen )for patients who are at highest risk for PBP including:
- Those with an ascitic-fluid total protein level <1.5 g/dL +
- Patients with impaired renal function
  - Blood urea nitrogen (BUN) ≥25 mg/dL serum sodium, ≤130 mg/dL)
  - Serum.creatinine ≥1.2 mg/dL
  - Serum.sodium ≤130 mg/dL) and/or
- Liver failure
  - Child-Pugh score ≥9 and
  - Bilirubin ≥3 mg/dL)
For patients with cirrhosis and gastrointestinal bleeding:
- - A 7-day course of antibiotic prophylaxis is recommended.

Primary peritonitis	Secondary peritonitis	Tertiary peritonitis

Spontaneous peritonitis: Patients with peritoneal catheters should be treated with sterile techniques. In cases of liver failure, antibiotics may help prevent peritonitis from coming back.
Dialysis associated peritonitis: Careful sterile technique when performing peritoneal dialysis may help reduce the risk of inadvertently introducing bacteria during the procedure. Some cases are not preventable. Equipment design improvements have made these infections less common.

@@ Line 6: / Line 6: @@
 ==Primary Prevention==
 Prevention depends on the cause and the specific type of peritonitis.
+* A 2012 guideline from the American Association for the Study of Liver Diseases recommends( chronic antibiotic prophylaxis with a regimen )for patients who are at highest risk for PBP including:
+** Those with an ascitic-fluid total protein level <1.5 g/dL +
+** Patients with impaired renal function
+*** Blood urea nitrogen (BUN) ≥25 mg/dL serum sodium, ≤130 mg/dL)
+*** Serum.creatinine ≥1.2 mg/dL
+*** Serum.sodium ≤130 mg/dL)  and/or
+** Liver failure
+*** Child-Pugh score ≥9 and
+*** Bilirubin ≥3 mg/dL)
+* For patients with cirrhosis and gastrointestinal bleeding:
+***A 7-day course of antibiotic prophylaxis is recommended.
+{| class="wikitable"
+|-
+! style="width: 33%;" | '''Primary peritonitis'''
+! style="width: 34%;" | '''Secondary peritonitis'''
+! style="width: 33%;" | '''Tertiary peritonitis'''
+| valign = top |
+|}
 *Spontaneous peritonitis: Patients with peritoneal [[catheters]] should be treated with sterile techniques. In cases of [[liver failure]], [[antibiotics]] may help prevent peritonitis from coming back.
 *Dialysis associated peritonitis: Careful sterile technique when performing [[peritoneal dialysis]] may help reduce the risk of inadvertently introducing bacteria during the procedure. Some cases are not preventable. Equipment design improvements have made these infections less common.