الاستسقاء في تليف الكبد مع عدد العدلات في سائل الاستسقاء >250 خلية/مم³ — تقديم بدون أعراض

References

• In patients who are ‘‘well’’ (asymptomatic), with bowel sounds, SBP can be treated with oral antibiotics.
• Under these circumstances either oral ciprofloxacin (750 mg twice daily) or oral co-amoxiclav (1000/200 mg amoxicillin/clavulanic acid three times daily), subject to renal function, is logical.
• A reduction in ascitic fluid neutrophil count of less than 25% of the pretreatment value after two days of antibiotic treatment suggests failure to respond to therapy.
• Resolution of infection in SBP is associated with an improvement in symptoms and signs.

DOI: 10.1136/gut.2006.099580