Aspectos microbiológicos de interés en el diagnóstico de la peritonitis bacteriana espontánea del paciente con cirrosis hepática

Pablo Rubinstein Aguñín; Juan Carlos Bagattini

Authors

Pablo Rubinstein Aguñín Médico Internista. Postgrado de Gastroenterología
Juan Carlos Bagattini Universidad de la República, Facultad de Medicina, Hospital Pasteur, Clínica Médica "2", Profesor Director. Médico Internista. Médico Intensivista

Keywords:

HEPATIC CIRRHOSIS, ASCITES, BACTERIAL INFECTIONS, PERITONITIS, ANTIBIOTIC PROPHYLAXIS

Abstract

Spontaneous bacterial peritonitis (SBP) is a serious complication in cirrhotic patients, provoking high rates of in-hospital mortality and bad short-term prognosis. Diagnosis needs high level suspect, early abdominal paracentesis to count neutrophils in ascitic fluid and bacterial analysis. Blood culture flasks have replaced traditional agar plate technique since diagnostic determination is more reliable and faster. The importance of bacterial studies has have a renewable interest since literature included data from antibiotic therapy, increase in hospitalization-related infections and low performance of direct analysis of ascitic fluid. This technique has improved diagnosis of spontaneous bacterial peritonitis in the Hospital Pasteur. Health centers with low financial resources should implement this technique in cases of clinical or analytical suspicion of SBP or antibiotic therapy to diminish costs.

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