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#142 Cirrhosis TIPS for Acute Complications

The Curbsiders Internal Medicine Podcast

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The Parasynthesis and Antibiotics for SBP

If a patient is clearly clinically getting much better, I don't necessarily repeat the parasynthesis at day five. But if I have any doubt or if the infection was very severe to begin with, a really high PMN count or they were really, really sick, then yeah, absolutely. You don't know if this infection is gone until you've sampled the fluid and made sure that the infection is gone. Once somebody gets this, they're on antibiotics for life after this. And that's typically with sipper floxes and 250 or 500 milligrams a day. That's mandatory. They're poor tendons. Yeah. I'm sorry, Billy. You're gone

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