Carolinas Core Concepts Core Concepts in EM; a repository for Carolinas lecture summaries.



Michael Koehler, MD

  • SBP is the most common bacterial infection in patients with cirrhosis
  • Suspect SBP in a patient with known ascites who presents with any abdominal discomfort, worsening ascites, encephalopathy, or ileus
  • Fever is present in only half of SBP cases
  • A diagnostic peritoneal tap is a quick and easy procedure with rare complications
  • First-line treatment for SBP is 2g of cefotaxime IV
  • Renal failure is the largest predictor of mortality in SBP
  • Strongly consider giving your SBP patient 1.5g/kg of albumin IV, as it has been shown to decrease renal failure and mortality in patients admitted with SBP
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