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+--- Thread: Doubt.. - midwest (/showthread.php?tid=413106)
Doubt.. - midwest - ArchivalUser - 05-23-2009
If SBP is treated ..do you put him on any prophylaxis?
0 - ArchivalUser - 05-23-2009
whats yr question, didnt get
0 - ArchivalUser - 05-23-2009
give iv cefotaxime for treatment , dont wait for the resilt of culture
give iv albumin to prevent HRS
0 - ArchivalUser - 05-23-2009
After treatment SBP...do you put him on antibiotic to prevent relapse of SBP?
0 - ArchivalUser - 05-23-2009
yeah ciprofloxacin 250 mg qid in chirrotic pt
0 - ArchivalUser - 05-23-2009
Good..kaplan too says so but I was confuse..Kaplan says levofloxacin for a year
Thanks
0 - ArchivalUser - 05-23-2009
Empiric therapy use 3rd generation cephalosporin, like IV cefotaxime,
If enterococcus infection is suspected, ampicillin is added
Recommended duration of antibiotic is 5“10 days or until the ascites fluid PMN count decreases to < 250 cells
IV albumin, on day 1 and day 3, is also given to reduce the development of renal failure and mortality
Surgery
Liver transplant is the most effective treatment for spontaneous bacterial peritonitis
Follow-Up
Repeat paracentesis at 5 days after start of antibiotic therapy if there is persistent fever, pain, or clinical deterioration
Complications
Renal failure develops in up to 40% of patients and is a major cause of death