Spontaneous bacterial peritonitis primary prevention: Difference between revisions

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{{Spontaneous bacterial peritonitis}}
{{Spontaneous bacterial peritonitis}}
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==Overview==
==Overview==
Patients with ascitic fluid protein concentration <1.0 g/dL, variceal hemorrhage, and prior episode of SBP should receive antibiotic prophylaxis.
No [[primary prevention]] described for SBP but early diagnosis and initiating [[Antibiotic|empiric antibiotic treatment]] is crucial for improving the prognosis.


==Primary prevention==
==Primary prevention==
* Prevention of ascites in [[cirrhosis]], [[heart failure]] and [[renal failure]].
No [[primary prevention]] described for SBP but early diagnosis and initiating [[Antibiotic|empiric antibiotic treatment]] is crucial for improving the prognosis.
* Prevention of [[peritonitis]] in cases of [[ascites]].
* Intravenous [[ceftriaxone]] for 7 days or twice-daily norfloxacin for 7 days should be given to prevent [[bacterial infections]] in patients with [[cirrhosis]] and [[gastrointestinal hemorrhage]]. <ref name="pmid12076458">{{cite journal |author=Soares-Weiser K, Brezis M, Tur-Kaspa R, Leibovici L |title=Antibiotic prophylaxis for cirrhotic patients with gastrointestinal bleeding |journal=Cochrane database of systematic reviews (Online) |volume= |issue=2 |pages=CD002907 |year=2002 |pmid=12076458 |doi=}}</ref>
* Intermittent dosing of antibiotics to prevent bacterial infections may be inferior to daily dosing (due to the development of bacterial resistance) and thus daily dosing should preferentially be used. <ref name="urlNational Guideline Clearinghouse | Management of adult patients with ascites due to cirrhosis: an update.">{{cite web |url=http://guideline.gov/content.aspx?id=14887&search=ascitis |title=National Guideline Clearinghouse &#124; Management of adult patients with ascites due to cirrhosis: an update. |format= |work= |accessdate=}}</ref>


==References==
==References==
{{reflist|2}}
{{reflist|2}}


{{WH}}
[[Category:Gastroenterology]]
{{WS}}
[[Category:Emergency medicine]]
 
[[Category:Emergency mdicine]]
[[Category:Grammar]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]

Latest revision as of 00:15, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]Ahmed Younes M.B.B.CH [3]

Overview

No primary prevention described for SBP but early diagnosis and initiating empiric antibiotic treatment is crucial for improving the prognosis.

Primary prevention

No primary prevention described for SBP but early diagnosis and initiating empiric antibiotic treatment is crucial for improving the prognosis.

References

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