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2023, Number 3

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Enf Infec Microbiol 2023; 43 (3)

Spontaneous bacterial peritonitis: the evolution of a major infectious pathology

Esparza AS, Mora GO, Pérez GHR, González DE, Pérez SCJ, Vázquez LM, Morfín OR, Rodríguez NE

Language: Spanish
References: 46
Page: 101-105
PDF size: 130.86 Kb.


ABSTRACT

The syndrome of spontaneous bacterial peritonitis (SBP) is a severe complication in patients with chronic liver disease. Patients with chronic liver diseases are immunosuppressed due to an abnormal immune system, intestinal microbiome changes, and intestinal mucosa barrier damage. The bacterial pathogens include Gram negative as Escherichia coli. When multiresistant bacteria such as Klebsiella pneumoniae are implicated, the treatment can be complex. sbp is generally diagnosed based on finding bacteria in the ascitic fluid with more than 250 neutrophils per cubic millimeter. The treatment is multidisciplinary since the infection, shock, hypoalbuminemia, and hepatorenal syndrome must be included in the treatment protocol.


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