Os fatores predisponentes incluem a diminuicao da defesa imunologica encontrada no homem nas fases avancadas da cirrose, o supercrescimento da flora intestinal e a translocacao bacteriana da luz. Peritonitis, peritonitis bacteriana espontanea, translocacion bacteriana, cirrosis, ascitis. A pmn count higher than 250 cellsmm 3 with a negative culture of ascitic fluid results in. A peritonite espontanea e uma infeccao bacteriana aguda do liquido peritoneal. Este puede ser ocasionado en forma espontanea o posterior a una paracentesis. A peritonite bacteriana espontanea pbe e uma infeccao do liquido ascitico sem uma fonte aparente. Os fatores predisponentes incluem a diminuicao da defesa imunologica.
A diagnosis of sbp is made when the polymorphonuclear pmn count in the ascitic fluid is higher than 250 cellsmm 3, with no evidence of an intraabdominal infection source. Diagnosis, treatment and prophylaxis of spontaneous bacterial. Traslocacion bacteriana patologica alteraciones microbiota disminucion transito intestinal alteraciones inmunologicas sistemicas y en liquido ascitico deficits. Download as pptx, pdf, txt or read online from scribd. Table 2 recommendations on diagnosis of sbp recommendation rating diagnosis of sbp. A ruptured appendix, diverticulum, or stomach ulcer digestive diseases such as crohns disease and diverticulitis. O tratamento e com cefotaxima ou outro antibiotico. Diagnostic paracentesis in cirrhotics with ascites. Peritonite bacteriana espontanea e encefalopatia hepatica. Spontaneous bacterial peritonitis is a serious complication in cirrhotic patients, and the changes in the microbiological characteristics reported in the last years are impacting the choice of antibiotic used in the treatment.
Insuficincia renal pacientes com peritonite bacteriana espontnea com ou sem choque. Em pacientes cirroticos na admissao hospitalar, esta presente em 12% dos pacientes em um estudo. A pmn count higher than 250 cellsmm 3 and a positive culture of ascitic fluid results in the diagnosis of culturepositive sbp. O estudo mostra a relao entre infeco bacteriana multi resistente mr adquirida em diferentes setores. Scribd is the worlds largest social reading and publishing site. Por este motivo, paracentese diagnostica na admissao hospitalar e uma conduta padrao. Peritonite bacteriana espontanea inflamacao cirrose. Peritonite bacteriana espontanea bmj best practice. It is a major cause of the high rates of mortality among these patients and has high rates of recurren ce. Peritonitis bacteriana espontanea linkedin slideshare. Abstract spontaneous bacterial peritonitis sbp is a serious complication that occurs among cirrhotic patients with ascites.
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