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Spontaneous bacterial peritonitis (SBP) is the development of a bacterial infection in the peritoneum, despite the absence of an obvious source for the infection. [1] It is specifically an infection of the ascitic fluid – an increased volume of peritoneal fluid. [2] Ascites is most commonly a complication of cirrhosis of the liver. [1]
Norfloxacin is used for prevention of spontaneous bacterial peritonitis in cirrhotic patients who have a low ascites fluid protein level, impaired renal function, severe liver disease, have had a prior episode of spontaneous bacterial peritonitis, or esophageal variceal bleeding. [16] [17] [18] [19]
Treatment is directed towards decreasing portal hypertension itself or in the management of its acute and chronic complications. [7] Complications include ascites, spontaneous bacterial peritonitis , variceal hemorrhage, hepatic encephalopathy , hepatorenal syndrome , and cardiomyopathy .
Spontaneous bacterial peritonitis (SBP) is a peculiar form of peritonitis occurring in the absence of an obvious source of contamination. It occurs in people with ascites, including children. Intra-peritoneal dialysis predisposes to peritoneal infection (sometimes named "primary peritonitis" in this context).
Clostridium tertium bacteremia can cause fever, and directed antibiotic therapy is indicated. [3] C. tertium is commonly (but not universally) resistant to many β-lactam antibiotics such as penicillin and cephalosporin; clindamycin; and metronidazole; but it is susceptible to vancomycin, trimethoprim-sulfamethoxazole, and ciprofloxacin. [3]
Important clinical infections caused by Enterococcus include urinary tract infections (see Enterococcus faecalis), bacteremia, bacterial endocarditis, diverticulitis, meningitis, and spontaneous bacterial peritonitis. [4] [8] [9] Sensitive strains of these bacteria can be treated with ampicillin, penicillin and vancomycin. [10]
This analysis suggests S. bovis should no longer be regarded as a single bacterial entity in clinical practice. Only Streptococcus gallolyticus ( S. bovis biotype I) infection has an unambiguous association with colonic adenomas/carcinomas (prevalence range: 33–71%) that markedly exceeds the prevalence of colonic (pre-)malignancies in the ...
Symptomatic relief may be provided by paracentesis, which may also diagnose spontaneous bacterial peritonitis (SBP) Gastrointestinal endoscopy may be used or patients with suspected peptic ulcer disease Helicobacter pylori testing may also be used; Trial medications may be beneficial for the diagnosis and treatment of: