Péritonite bactérienne spontanée
De médecine.top
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
