Différences entre versions de « Péritonite bactérienne spontanée »
De médecine.top
| Ligne 3 : | Ligne 3 : | ||
== Prophylaxie == | == Prophylaxie == | ||
| − | * '''Si saignement de | + | * '''Si saignement de varices oesophagiennes''' |
** Ceftriaxone/ciprofloxacine durant 7 jours | ** Ceftriaxone/ciprofloxacine durant 7 jours | ||
** Permet d'éviter | ** Permet d'éviter | ||
| − | * '''Si patient à haut risque de PBS''' | + | * '''Si patient ascitique à haut risque de PBS''' |
Criteria for patients at high risk include an ascitic-fluid total protein level less than 1.5 g/dL (15 g/L) in conjunction with any of the following: serum sodium level less than or equal to 130 mEq/L (130 mmol/L), serum creatinine level greater than or equal to 1.2 mg/dL (106.1 µmol/L), blood urea nitrogen level greater than or equal to 25 mg/dL (8.9 mmol/L), serum bilirubin level greater than or equal to 3 mg/dL (51.3 µmol/L), or Child-Turcotte-Pugh class B or C cirrhosis. | Criteria for patients at high risk include an ascitic-fluid total protein level less than 1.5 g/dL (15 g/L) in conjunction with any of the following: serum sodium level less than or equal to 130 mEq/L (130 mmol/L), serum creatinine level greater than or equal to 1.2 mg/dL (106.1 µmol/L), blood urea nitrogen level greater than or equal to 25 mg/dL (8.9 mmol/L), serum bilirubin level greater than or equal to 3 mg/dL (51.3 µmol/L), or Child-Turcotte-Pugh class B or C cirrhosis. | ||
| + | * '''Si antécédent de PBS''' | ||
| + | ** Patients who have had a bout of SBP should also receive lifelong antibiotic prophylaxis to reduce the risk for recurrence | ||
== Traitement == | == Traitement == | ||
Version du 20 avril 2020 à 11:59
Définition
Prophylaxie
- Si saignement de varices oesophagiennes
- Ceftriaxone/ciprofloxacine durant 7 jours
- Permet d'éviter
- Si patient ascitique à haut risque de PBS
Criteria for patients at high risk include an ascitic-fluid total protein level less than 1.5 g/dL (15 g/L) in conjunction with any of the following: serum sodium level less than or equal to 130 mEq/L (130 mmol/L), serum creatinine level greater than or equal to 1.2 mg/dL (106.1 µmol/L), blood urea nitrogen level greater than or equal to 25 mg/dL (8.9 mmol/L), serum bilirubin level greater than or equal to 3 mg/dL (51.3 µmol/L), or Child-Turcotte-Pugh class B or C cirrhosis.
- Si antécédent de PBS
- Patients who have had a bout of SBP should also receive lifelong antibiotic prophylaxis to reduce the risk for recurrence
Traitement
- Si critères de PBS présents
- Pas de bénéfice démontré à la perfusion d'albumine
