Management of nosocomial spontaneous bacterial peritonitis: A complex and moving target
نویسندگان
چکیده
منابع مشابه
Spontaneous bacterial peritonitis.
Spontaneous bacterial peritonitis (SBP) is a common, serious complication in patients with cirrhosis and ascites. It is a bacterial infection of ascitic fluid in the absence of an adjacent, surgically amenable infection source. Since its description in 1964 (1) numerous studies, guidelines, and both national and international consensus conferences have brought significant advancement to the dia...
متن کامل["Spontaneous" bacterial peritonitis].
Since its initial description in 1964, research has transformed spontaneous bacterial peritonitis (SBP) from a feared disease (with reported mortality of 90%) to a treatable complication of decompensated cirrhosis, albeit with steady prevalence and a high recurrence rate. Bacterial translocation, the key mechanism in the pathogenesis of SBP, is only possible because of the concurrent failure of...
متن کاملSpontaneous Bacterial Peritonitis
at 20% to 40%.4,5 If the patient survives that hospitalization, one-year and two-year mortality rates for those with SBP are approximately 70% and 80%, respectively.3,6–10 Further adding to the inherent morbidity of SBP is its proclivity for recurrence. After an episode of SBP has been successfully cleared with antibiotic therapy, recurrence rates range from 40% to 70% within the first year.3,6...
متن کاملSpontaneous bacterial peritonitis.
Spontaneous bacterial peritonitis (SBP) is a bacterial infection of ascitic fluid in patients with decompensated cirrhosis. The modifier 'spontaneous' distinguishes this from surgical peritonitis. The infecting organisms are usually enteric gram-negatives which have translocated from the bowel. Symptoms of infection occur in most patients with SBP, including fever, abdominal pain, mental status...
متن کاملClinical significance and outcome of nosocomial acquisition of spontaneous bacterial peritonitis in patients with liver cirrhosis.
BACKGROUND There have been few reports on the causes and treatment outcomes for nosocomial spontaneous bacterial peritonitis (SBP) in patients with liver cirrhosis. METHODS We performed a retrospective cohort study to compare the microbiological and clinical characteristics in nosocomial versus community-acquired SBP. All patients with SBP, for whom culture was proven to be positive for SBP a...
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ژورنال
عنوان ژورنال: Clinical Liver Disease
سال: 2017
ISSN: 2046-2484,2046-2484
DOI: 10.1002/cld.677