The Internet Book of Critical Care Podcast IBCC Episode 127 - Spontaneous Bacterial Peritonitis (SBP)
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Apr 28, 2023 AI Snips
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Tap All Cirrhotic Patients with Ascites
- Always tap cirrhotic patients with ascites upon hospital admission, even if they seem stable.
- This helps identify SBP early, which can be a silent driver of multi-organ failure.
Absolute Neutrophil Count in SBP
- In ascites fluid analysis, the absolute neutrophil count (ANC), not the total cell count, is key for diagnosing peritonitis.
- An ANC over 250 indicates peritonitis, often SBP, requiring prompt treatment.
Differentiating SBP from Secondary Peritonitis
- Differentiating between primary (SBP) and secondary bacterial peritonitis is crucial, as treatment differs significantly.
- Look for red flags like overt peritonitis, complex ascites fluid, multiple organisms on culture, or lack of response to antibiotics.