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Amr, S., Ahmed, A., Hoda, E. (2018). Spontaneous Bacterial Peritonitis: An Overview. Medical Journal of Viral Hepatitis, 3.1(1), 13-17. doi: 10.21608/mjvh.2018.55751
Samir Amr; Abdel-Razik Ahmed; Elgamal Hoda. "Spontaneous Bacterial Peritonitis: An Overview". Medical Journal of Viral Hepatitis, 3.1, 1, 2018, 13-17. doi: 10.21608/mjvh.2018.55751
Amr, S., Ahmed, A., Hoda, E. (2018). 'Spontaneous Bacterial Peritonitis: An Overview', Medical Journal of Viral Hepatitis, 3.1(1), pp. 13-17. doi: 10.21608/mjvh.2018.55751
Amr, S., Ahmed, A., Hoda, E. Spontaneous Bacterial Peritonitis: An Overview. Medical Journal of Viral Hepatitis, 2018; 3.1(1): 13-17. doi: 10.21608/mjvh.2018.55751

Spontaneous Bacterial Peritonitis: An Overview

Article 3, Volume 3.1, Issue 1, November 2018, Page 13-17  XML PDF (220.07 K)
Document Type: Review articles
DOI: 10.21608/mjvh.2018.55751
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Authors
Samir Amr; Abdel-Razik Ahmed; Elgamal Hoda
Tropical Medicine dept, Faculty of Medicine, Mansoura Univ., Egypt
Abstract
Spontaneous bacterial peritonitis (SBP) is a risky complication
that occurs amongst cirrhotic patients with ascites. SBP
develops in approximately 10 to 30% and has an estimated inhospital
mortality rate of 20%. SBP outcomes from translocation
of bacteria from the intestinal lumen. Also, SBP results from a
bacteremia that initiates at a distant site, such as a urinary
tract infection. The majority of cases of SBP are produced by
gram-negative enteric organisms, such as Escherichia coli and
Klebsiella pneumonia. Third-generation, broad-spectrum cephalosporins
continue a good initial choice for SBP treatment.
Levofloxacin is an acceptable alternative for patients not
receiving long-term flouroquinolone prophylaxis or for those with
a penicillin allergy. Different antibiotics such as pipercillintazobactam
should be considered for patients with nosocomial
SBP or for patients who fail to improve on traditional antibiotic
regimens.
Keywords
Spontaneous Bacterial Peritonitis; Cirrhosis; Ascites and gram-negative enteric organisms
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