Template:Diagnosis of SBP - Revision history

Rossdonaldson1 at 16:24, 26 June 2018

2018-06-26T16:24:10Z

← Older revision		Revision as of 16:24, 26 June 2018
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	''For bloody tap, subtract 1 WBC for every 250 RBC<ref>Hoefs JC "Increase in ascites white blood cell and protein concentrations during diuresis in patients with chronic liver disease."Hepatology. 1981;1(3):249. PMID 7286905</ref>		''For bloody tap, subtract 1 WBC for every 250 RBC<ref>Hoefs JC "Increase in ascites white blood cell and protein concentrations during diuresis in patients with chronic liver disease."Hepatology. 1981;1(3):249. PMID 7286905</ref>

	====If on ~~Peritoneal Dialysis (CAPD)~~====		====If on peritoneal dialysis====
	[[~~SBP~~]] ~~if:~~		''See [[Peritoneal dialysis-associated peritonitis]]''
	*>100 ~~total WBCs OR~~ >50% neutrophils		*Cell count >100/mm with >50% neutrophils most consistent with infection<ref>ISPD GUIDELINES/RECOMMENDATIONS http://www.ispd.org/guidelines/articles/update/ispdperitonitis.pdf</ref>

	~~====If on Nightly APD====~~
	~~[[SBP]] if~~:
	* >~~50% neutrophils~~
	* Amylase (>100 suggestive of intra-abdominal process)

2017-08-19T21:08:39Z

Reverted edits by Mholtz (talk) to last revision by Adamhaag

← Older revision		Revision as of 21:08, 19 August 2017
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	====Standard Evaluation====		====Standard Evaluation====
	*Paracentesis results supporting a diagnosis of SBP:		*Paracentesis results supporting a diagnosis of SBP:
	**Absolute neutrophil count (PMNs) ≥250		**Absolute neutrophil count (PMNs) ≥250, pH <7.35, OR blood-ascites pH gradient >0.1<ref>Wilkerson R, Sinert, R. The Use of Paracentesis in the Assessment of the Patient With Ascites. Ann Emerg Med 2009, 54(3): 465-68.</ref>
	**Bacteria on [[gram stain]] (single type)		**Bacteria on [[gram stain]] (single type)
	**SAAG > 1.1		**SAAG > 1.1

2017-08-19T21:08:14Z

Reverted edits by Adamhaag (talk) to last revision by Rossdonaldson1

← Older revision		Revision as of 21:08, 19 August 2017
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	====Standard Evaluation====		====Standard Evaluation====
	*Paracentesis results supporting a diagnosis of SBP:		*Paracentesis results supporting a diagnosis of SBP:
	**Absolute neutrophil count (PMNs) ≥250~~, pH <7.35, OR blood-ascites pH gradient >0.1<ref>Wilkerson R, Sinert, R. The Use of Paracentesis in the Assessment of the Patient With Ascites. Ann Emerg Med 2009, 54(3): 465-68.</ref>~~		**Absolute neutrophil count (PMNs) ≥250
	**Bacteria on [[gram stain]] (single type)		**Bacteria on [[gram stain]] (single type)
	**SAAG > 1.1		**SAAG > 1.1

2017-08-19T17:49:19Z

Standard Evaluation

← Older revision		Revision as of 17:49, 19 August 2017
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	====Standard Evaluation====		====Standard Evaluation====
	*Paracentesis results supporting a diagnosis of SBP:		*Paracentesis results supporting a diagnosis of SBP:
	**Absolute neutrophil count (PMNs) ≥250		**Absolute neutrophil count (PMNs) ≥250, pH <7.35, OR blood-ascites pH gradient >0.1<ref>Wilkerson R, Sinert, R. The Use of Paracentesis in the Assessment of the Patient With Ascites. Ann Emerg Med 2009, 54(3): 465-68.</ref>
	**Bacteria on [[gram stain]] (single type)		**Bacteria on [[gram stain]] (single type)
	**SAAG > 1.1		**SAAG > 1.1

2017-01-12T22:21:22Z

Standard Evaluation

← Older revision		Revision as of 22:21, 12 January 2017
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	====Standard Evaluation====		====Standard Evaluation====
	*Paracentesis results supporting a diagnosis of SBP:		*Paracentesis results supporting a diagnosis of SBP:
	**Absolute neutrophil count (PMNs) ~~> 250~~		**Absolute neutrophil count (PMNs) ≥250
	**Bacteria on [[gram stain]] (single type)		**Bacteria on [[gram stain]] (single type)
	**SAAG > 1.1		**SAAG > 1.1

2017-01-12T22:20:42Z

Standard Evaluation

← Older revision		Revision as of 22:20, 12 January 2017
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	====Standard Evaluation====		====Standard Evaluation====
	*Paracentesis results supporting a diagnosis of SBP:		*Paracentesis results supporting a diagnosis of SBP:
	**Total WBC >500
	**Absolute neutrophil count (PMNs) > 250		**Absolute neutrophil count (PMNs) > 250
	**Bacteria on [[gram stain]] (single type)		**Bacteria on [[gram stain]] (single type)
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	**Protein < 1, Glucose > 50 (otherwise concern for secondary bacterial peritonitis)		**Protein < 1, Glucose > 50 (otherwise concern for secondary bacterial peritonitis)

	''For bloody tap, subtract 1 WBC for every 250 RBC''		''For bloody tap, subtract 1 WBC for every 250 RBC<ref>Hoefs JC "Increase in ascites white blood cell and protein concentrations during diuresis in patients with chronic liver disease."Hepatology. 1981;1(3):249. PMID 7286905</ref>

	====If on Peritoneal Dialysis (CAPD)====		====If on Peritoneal Dialysis (CAPD)====

2015-11-02T06:51:47Z

SAAG

← Older revision		Revision as of 06:51, 2 November 2015
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	**Bacteria on [[gram stain]] (single type)		**Bacteria on [[gram stain]] (single type)
	**SAAG > 1.1		**SAAG > 1.1
			***Diagnostic of portal hypertension with 97% accuracy<ref>Runyon BA, Montano AA, Akriviadis EA, et al. The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites. Ann Intern Med 1992; 117:215.</ref>
			***SBP rarely develops in patients without portal hypertension
	**Protein < 1, Glucose > 50 (otherwise concern for secondary bacterial peritonitis)		**Protein < 1, Glucose > 50 (otherwise concern for secondary bacterial peritonitis)

2015-08-31T17:38:20Z

If on Peritoneal Dialysis

← Older revision		Revision as of 17:38, 31 August 2015
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	''For bloody tap, subtract 1 WBC for every 250 RBC''		''For bloody tap, subtract 1 WBC for every 250 RBC''

	====If on Peritoneal Dialysis====		====If on Peritoneal Dialysis (CAPD)====
	[[SBP]] if:		[[SBP]] if:
	*>100 total WBCs OR >50% neutrophils		*>100 total WBCs OR >50% neutrophils

2015-05-30T08:33:31Z

Diagnosis of SBP via Ascitic Fluid Analysis

← Older revision		Revision as of 08:33, 30 May 2015
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	===Diagnosis of [[SBP]] via Ascitic Fluid Analysis===		===Diagnosis of [[SBP]] via [[Ascitic Fluid Analysis]]===
	====Standard Evaluation====		====Standard Evaluation====
	*Paracentesis results supporting a diagnosis of SBP:		*Paracentesis results supporting a diagnosis of SBP:

2015-05-30T08:33:17Z

If on Nightly APD

← Older revision		Revision as of 08:33, 30 May 2015
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	====If on Nightly APD====		====If on Nightly APD====
	[[SBP]] if:		[[SBP]] if:
	* >50%~~NEUT~~		* >50% neutrophils
	* Amylase (>100 suggestive of intra-abdominal process)		* Amylase (>100 suggestive of intra-abdominal process)