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Practitioners’ Diary

Management of Spontaneous Bacterial Peritonitis

Debjoy Sau, Dr Debashis Misra

Department:

GASTROENTEROLOGY

Abstract:

Spontaneous bacterial peritonitis is one of the commonest infections in patients of decompensated cirrhosis. It is associated with significant morbidity in form of hepatorenal syndrome and mortality. Diagnostic paracentesis is the cornerstone of diagnosing this condition which requires high index of suspicion as most of the time patients with this infection may remain asymptomatic. Intravenous antibiotics and albumin administration have brought down the mortality and morbidity over the years. Patients recovering from this condition should be counselled for liver transplantation as chances of recurrence of the infection and mortality within next one or two years are high.

Keyword:

Antibacterial agents, bacterial infections, gastro-intestinal haemorrhage, hepatorenal syndrome, liver cirrhosis, peritonitis

Journal: Medical Glory Vol 5, Issue No 3, July-September, 2021

 

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