Spontaneous bacterial peritonitis SBP

• History / PE:
  Fever, lethargy
  Change in mental status
• Diagnosis:
  Paracentesis ( positive fluid culture or PMN > 250/mm3 )
  SAAG > 1.1 (transudative, portal HTN)
• Treatment:
  Third generation cephalosporin
• Notes:
  E. coli and Klebsiella are the MC cultured organisms
• Associated With:
  Cirrhosis and ascites