Spontaneous bacterial peritonitis: Difference between revisions
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* [[specificity (tests)|specificity]] = 34% | * [[specificity (tests)|specificity]] = 34% | ||
Regarding individual [[medical sign]]s and [[ | Regarding individual [[Sign (medical)|sign]]s and [[symptom]]s: | ||
* [[Fever]] over 100.4°on [[physical examination]] | * [[Fever]] over 100.4°on [[physical examination]] | ||
** [[sensitivity (tests)|sensitivity]] = 18% | ** [[sensitivity (tests)|sensitivity]] = 18% | ||
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** [[sensitivity (tests)|sensitivity]] = 94% | ** [[sensitivity (tests)|sensitivity]] = 94% | ||
** [[specificity (tests)|specificity]] = 15% | ** [[specificity (tests)|specificity]] = 15% | ||
==Treatment== | |||
The role of antibiotics is not clear as "oral [[quinolone]]s could be considered an option for those with less severe manifestations".<ref name="pmid19160207">{{cite journal |author=Chavez-Tapia NC, Soares-Weiser K, Brezis M, Leibovici L |title=Antibiotics for spontaneous bacterial peritonitis in cirrhotic patients |journal=Cochrane Database Syst Rev |volume= |issue=1 |pages=CD002232 |year=2009 |pmid=19160207 |doi=10.1002/14651858.CD002232.pub2 |url=http://dx.doi.org/10.1002/14651858.CD002232.pub2 |issn=}}</ref> | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 04:55, 8 March 2009
In medicine, spontaneous bacterial peritonitis is a form of peritonitis that occurs in patient with ascites.[1]
Diagnosis
On physical examination, most patients have mild abdominal pain.[2]
The impression of the physician performing the physical examination may not be accurate:[2]
- sensitivity = 76%
- specificity = 34%
Regarding individual signs and symptoms:
- Fever over 100.4°on physical examination
- sensitivity = 18%
- specificity = 90%
- "Any abdominal pain or tenderness" on physical examination
- sensitivity = 94%
- specificity = 15%
Treatment
The role of antibiotics is not clear as "oral quinolones could be considered an option for those with less severe manifestations".[3]
References
- ↑ ICD9: 567.23
- ↑ 2.0 2.1 Chinnock B, Afarian H, Minnigan H, Butler J, Hendey GW (September 2008). "Physician clinical impression does not rule out spontaneous bacterial peritonitis in patients undergoing emergency department paracentesis". Ann Emerg Med 52 (3): 268–73. DOI:10.1016/j.annemergmed.2008.02.016. PMID 18433932. Research Blogging.
- ↑ Chavez-Tapia NC, Soares-Weiser K, Brezis M, Leibovici L (2009). "Antibiotics for spontaneous bacterial peritonitis in cirrhotic patients". Cochrane Database Syst Rev (1): CD002232. DOI:10.1002/14651858.CD002232.pub2. PMID 19160207. Research Blogging.