Postgrad Med J

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER


[Advanced]
Postgraduate Medical Journal 2007;83:379-383; doi:10.1136/pgmj.2006.056168
Copyright © 2007 The Fellowship of Postgraduate Medicine
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this link to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Add article to my folders
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Koulaouzidis, A
Right arrow Articles by Linaker, B D
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Koulaouzidis, A
Right arrow Articles by Linaker, B D

REVIEW

Spontaneous bacterial peritonitis

A Koulaouzidis 1, S Bhat 1, A Karagiannidis 2, W C Tan 1, B D Linaker 1

1 Gastroenterology Department, Warrington General Hospital, Cheshire, UK
2 AHEPA Hospital, Thessaloniki, Greece

Correspondence to:
Correspondence to:
Dr Anastasios Koulaouzidis
Warrington Hospital, Lovely Lane, Cheshire, WA51QG, UK; akoulaouzidis{at}hotmail.com

Spontaneous bacterial peritonitis (SBP) is the infection of ascitic fluid in the absence of any intra-abdominal, surgically treatable source of infection. Despite timely diagnosis and treatment its reported incidence in ascitic patients varies between 7–30%. Ascitic paracentesis remains the chief diagnostic procedure. Automated cell counters have the same diagnostic accuracy as the manual measurement of white cells. Lately, the use of leucocyte reagent strips (dipsticks) has emerged as a useful alternative. Examination of the fluid is not complete unless the sample is inoculated in blood culture bottles. Treatment is currently with third-generation cephalosporins or oral quinolones. Following a single episode of SBP patients should have long term antibiotic prophylaxis.

Abbreviations: BSG, British Society of Gastroenterology; IAC, International Ascites Club; IL, interleukin; HRS, hepatorenal syndrome; LPS, lipopolysaccharides; PCT, procalcitonin; PMNL, polymorphonuclear leucocyte; SBP, spontaneous bacterial peritonitis; TNF{alpha}, tumour necrosis factor {alpha}; WCC, white cell count






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER
Terms and conditions relating to subscriptions purchased online  ¦  Website terms and conditions  ¦  Privacy policy
Copyright © 2007 The Fellowship of Postgraduate Medicine