Spontaneous bacterial peritonitis: Difference between revisions
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In [[medicine]], [[spontaneous bacterial peritonitis]] is a form of peritonitis that occurs in patient with [[ascites]].<ref>[[ICD9]]: {{ICD9|567.23}}</ref> | In [[medicine]], [[spontaneous bacterial peritonitis]] is a form of peritonitis that occurs in patient with [[ascites]].<ref>[[ICD9]]: {{ICD9|567.23}}</ref> | ||
==Etiology/cause== | |||
[[Proton pump inhibitor]]s may be associated with SBP.<ref name="pmid19337238">{{cite journal |author=Bajaj JS, Zadvornova Y, Heuman DM, ''et al.'' |title=Association of proton pump inhibitor therapy with spontaneous bacterial peritonitis in cirrhotic patients with ascites |journal=Am. J. Gastroenterol. |volume=104 |issue=5 |pages=1130–4 |year=2009 |month=May |pmid=19337238 |doi=10.1038/ajg.2009.80 |url=http://dx.doi.org/10.1038/ajg.2009.80 |issn=}}</ref> | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 19:12, 19 May 2009
In medicine, spontaneous bacterial peritonitis is a form of peritonitis that occurs in patient with ascites.[1]
Etiology/cause
Proton pump inhibitors may be associated with SBP.[2]
Diagnosis
On physical examination, most patients have mild abdominal pain.[3]
The impression of the physician performing the physical examination may not be accurate:[3]
- 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".[4]
References
- ↑ ICD9: 567.23
- ↑ Bajaj JS, Zadvornova Y, Heuman DM, et al. (May 2009). "Association of proton pump inhibitor therapy with spontaneous bacterial peritonitis in cirrhotic patients with ascites". Am. J. Gastroenterol. 104 (5): 1130–4. DOI:10.1038/ajg.2009.80. PMID 19337238. Research Blogging.
- ↑ 3.0 3.1 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.