Treat Most Spontaneous Bacterial Peritonitis With 5 Days of Antibiotics
Up to 30% of cirrhosis patients will develop spontaneous bacterial peritonitis (SBP)...with a mortality rate of about 20%.
Consider SBP in liver patients with ascites and fever, abdominal pain, altered mental status, or other risks...such as a variceal bleed.
Recommend paracentesis and blood cultures before starting antibiotics. Ensure fluid is sent for a neutrophil count and cultures.