Gastroenterology and Hepatology


This is a personal webpage, reflecting my own personal views and not the views of anyone or any organization which I may be affiliated to or part of.
All the information provided here including recommendations and suggestions should be treated for informational purposes only and not a coercion to follow.
The author should not be held liable for any informational errors, incompleteness, delays or for any actions taken in reliance on information contained here.

Infection is fairly common (12%)

Diagnosed by:


Differentiation between spontaneous and secondary bacterial peritonitis is in IIryBP:

>250 PMN/mm3

Multiple organism including fungi and enterococcus on culture

TP > 1g/dL

LDH > ULN serum

Glucose <3 mmol/L

Role of repeat paracentesis:

Usually not needed unless response is atypical and high index of suspicion of secondary bacterial peritonitis


Norfloxacin 400mg daily

Ciporfloxacin 750mg weekly

DS trimethoprim/sulfamethoxazole 5 days a week

Target those who are high risk

TP < 1g/dL (Ascitic Fluid)

Prior episode SBP

Variceal hemorrhage

Creatinine > 88

edited 19th July 2010