Spontaneous Bacterial Peritonitis: what's new?

A recent review is published in World Journal of Gastroentrology,March 7 th issue.
This condition seldom occurs with s
Small volume ascites or in those ascites unrelated to liver disease.
13% of patients have no direct symptoms.so diagnostic tap in patients admitted with large volume ascites in cirrhotic setting.
It is important to distinguish between primary and secondary peritonitis due to perforation of gut.
Applying a drop of ascitic fluid to the leucocyte esterase of a urine dip stick may help in rapid detection.
5 days of antibiotic is as effective as longer courses.
Albumin infusion us recommended for most patients, those with renal deterioation and those who undergo large volume paracentesis. Albumin is a volume expanded and binds to inflammatory mediators. 1.5G/kg on day 1 and 1G/kg for 3 days has been recommended.