Curr Hepatology Rep (2017) 16:212–219 DOI 10.1007/s11901-017-0355-9 MANAGEMENT OF THE CIRRHOTIC PATIENT (A CARDENAS AND N REAU, SECTION EDITORS) Current Trends in the Management of Spontaneous Bacterial Peritonitis 1 2 Chanda K. Ho & Sumeet K. Asrani Published online: 19 July 2017 Springer Science+Business Media, LLC 2017 Abstract Introduction Purpose of review Spontaneous bacterial peritonitis is a life- threatening infection that is a leading cause of mortality Spontaneous bacterial peritonitis (SBP) is classically defined among patients with decompensated cirrhosis. In this article, as a primary infection of ascites with a positive ascitic fluid we present current trends in the management of spontaneous culture and an absolute polymorphonuclear leukocyte (PMN) bacterial peritonitis (SBP), highlighting treatment failure rates count ≥250 cells/mm in the absence of an intra-abdominal of traditional regimens and ways in which to address such source of infection . SBP occurs almost exclusively in the challenges. cirrhotic patient with ascites. Recent findings Despite available management guidelines, The need to recognize and treat SBP in a timely fashion is there are data to support that these guidelines are often not paramount to the patient’s clinical outcome. SBP is the most adhered to, e.g., performing a diagnostic paracentesis at the frequent
Current Hepatology Reports – Springer Journals
Published: Jul 19, 2017
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