Spontaneous Bacterial Peritonitis

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Suspect in a patient with ascites who develop fever, abdominal pain and vomiting. In some cases there is no abdominal pain.

Investigations

Abdominal paracentesis for WBC+ differential, Absolute neutrophil count and ascitic fluid culturePharmacological treatment

Ceftriaxone IV

1G two times daily for 7-10 days

OR

Cefotaxime IV

2g every 8 hours for 7-10 days.