Treat Most Spontaneous Bacterial Peritonitis With 5 Days of Antibiotics

August 2018

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.

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