Home Therapy Intra-abdominal infections
Home Therapy Intra-abdominal infections

peritonitis - primair (SBP)

Advices

≥ 18 years
Priority Medication Remarks
Medication:

ceftriaxon iv 2000mg 1dd 5 days

General comments

Er is sprake van een SBP bij ≥ 250x10E6/L polymorfonucleaire cellen in de ascites.

Antibiotica beleid aanpassen op geleid van kweken. 

Herhaal ascitespunctie na 48 uur voor responsevaluatie.

Patiënten die een SBP hebben doorgemaakt komen in aanmerking voor secundaire profylaxe (zie https://erasmusmc.adult.nl.antibiotica.app/nl/node/148744).

Sources

  1. Pubmed.gov publication # 19561863

    Spontaneous bacterial peritonitis: a review of treatment options. Alaniz C, Regal RE. P T. 2009 Apr;34(4):204-10.

  2. Pubmed.gov publication # 33067334

    Guidelines on the management of ascites in cirrhosis. Aithal GP, Palaniyappan N, China L. et al. Gut. 2021 Jan;70(1):9-29. 

  3. Pubmed.gov publication # 20633946

    EASL clinical practice guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrhosis. European Association for the Study of the Liver. J Hepatol. 2010 Sep;53(3):397-417. 

  4. Pubmed.gov publication # 33942342

    Diagnosis, Evaluation, and Management of Ascites, Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome: 2021 Practice Guidance by the American Association for the Study of Liver Diseases. Biggins SW. Angeli P, Garcia-Tsao G et al. Hepatology. 2021 Aug;74(2):1014-1048.

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-398445.3
Updated: 03/05/2024 - 17:17
Status: Published