Template:Diagnosis of SBP: Difference between revisions
| Line 16: | Line 16: | ||
====If on Nightly APD==== | ====If on Nightly APD==== | ||
[[SBP]] if: | [[SBP]] if: | ||
* >50% | * >50% neutrophils | ||
* Amylase (>100 suggestive of intra-abdominal process) | * Amylase (>100 suggestive of intra-abdominal process) | ||
Revision as of 08:33, 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:
- >100 total WBCs OR >50% neutrophils
If on Nightly APD
SBP if:
- >50% neutrophils
- Amylase (>100 suggestive of intra-abdominal process)