Antibiotics for bacterial peritonitis treatment,home remedies for sore throat and itchy ears treatment,all natural cures for bladder infections - Plans On 2016

admin | Herbal Remedies For Bv | 28.03.2015
Select and utilize appropriate antimicrobial therapy for patients with spontaneous bacterial peritonitis.
Importance of Distinguishing SBP from Secondary Bacterial Peritonitis: It is important to distinguish SBP from secondary bacterial peritonitis because of the critical need to determine whether surgical intervention is needed.
Other Diagnostic Tests on Ascitic Fluid: For an initial diagnostic paracentesis, other tests should be performed as clinically warranted on the remaining ascitic fluid.
Gastrointestinal Hemorrhage: Between 25% and 65% of cirrhotic patients with gastrointestinal bleeding develop bacterial infection, including spontaneous bacterial peritonitis.
Primary and Secondary SBP Prophylaxis: Several studies have shown that oral norfloxacin 400 mg daily prevents spontaneous bacterial peritonitis in patients with low-protein ascites and those with previous history of spontaneous bacterial peritonitis (SBP). Ascitic fluid should be sent for cell count and differential analysis and should be directly inoculated into blood culture bottles at the bedside.
Any cirrhotic patient with signs or symptoms concerning for SBP should be treated with antibiotic therapy regardless of ascitic fluid PMN count.

Recommended therapy for SBP consists of IV cefotaxime 2 g IV every 8 to 12 hours (or a similar third generation cephalosporin) for a minimal duration of 5 days. This algorithm provides a general approach to the diagnosis and management of patients with possible spontaneous bacterial peritonitis. Seven algorithms for the diagnosis and treatment of peritonitis in peritoneal dialysis patients. A newsletter that discusses sophisticated topics in Nephrology for physicians in Internal Medicine.
CE Notice.InstructionsTo complete this lesson you must work through all Lesson 2 Activities (listed below and on the left-hand navigation bar). There is no need for transfusion of plasma or platelets prior to a diagnostic paracentesis, given the extremely low risk of hemorrhagic complications, except in the setting of disseminated intravascular coagulation or clinically apparent fibrinolysis.
Effect of intravenous albumin on renal impairment and mortality in patients with cirrhosis and spontaneous bacterial peritonitis.

Less often, SBP results from bacteremia that originates at a distant site, such as a urinary tract infection.
Ceftriaxone (Rocephin) 1 g IV every 12 hours or 2 g every 24 hours for 5 days can be used in place of cefotaxime.
Most cases of SBP are caused by gram-negative enteric organisms, such as Escherichia coli and Klebsiella pneumoniae.

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