Template:Diagnosis of SBP: Difference between revisions
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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==== | ||
Revision as of 08:30, 30 May 2015
Diagnosis of SBP via Ascitic Fluid Analysis
Standard Evaluation
- Paracentesis results supporting a diagnosis of SBP:
- Total WBC >500
- Absolute neutrophil count (PMNs) > 250
- Bacteria on gram stain (single type)
- SAAG > 1.1
- Protein < 1, Glucose > 50 (otherwise concern for secondary bacterial peritonitis)
For bloody tap, subtract 1 WBC for every 250 RBC
If on Peritoneal Dialysis
SBP if:
- >100WBC OR >50% NEUT
If on Nightly APD
SBP if:
- >50%NEUT
- Amylase (>100 suggestive of intra-abdominal process)