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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Dec 7, 2009; 15(45): 5754-5755
Published online Dec 7, 2009. doi: 10.3748/wjg.15.5754
Published online Dec 7, 2009. doi: 10.3748/wjg.15.5754
Spontaneous bacterial peritonitis: Few additional points
Pankaj Jain, Department of Gastroenterology, Fortis Modi Hospital, Vivekanand Nagar 324005, Kota, India
Author contributions: Jain P reviewed the literature, analyzed and wrote the manuscript.
Correspondence to: Pankaj Jain, MD, Department of Gastroenterology, Fortis Modi Hospital, Vivekanand Nagar 324005, Kota, India. panj2007@rediffmail.com
Telephone: +91-744-2473501 Fax: +91-744-2473500
Received: June 19, 2009
Revised: October 11, 2009
Accepted: October 18, 2009
Published online: December 7, 2009
Revised: October 11, 2009
Accepted: October 18, 2009
Published online: December 7, 2009
Abstract
Spontaneous bacterial peritonitis (SBP) is a treatable complication of decompensated cirrhosis. Coagulopathy with evidence of hyperfibrinolysis or clinically evident disseminated intravascular coagulation precludes paracentesis. Alcoholic hepatitis with fever, leucocytosis and abdominal pain should be evaluated for SBP. Oral ofloxacin is as effective as parenteral cefotaxime in treatment of SBP except for inpatients with vomiting, encephalopathy, or renal failure. Albumin is superior to hydroxyethyl starch in treatment of SBP.
Keywords: Spontaneous bacterial peritonitis, Albumin, Antibiotics