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Complications of Cirrhosis 

Complications of Cirrhosis
Chapter:
Complications of Cirrhosis
Author(s):

Raina Shivashankar

and Purna C. Kashyap

DOI:
10.1093/med/9780190464813.003.0033
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date: 23 October 2019

Spontaneous bacterial peritonitis (SBP) is the most common infectious complication of cirrhosis. Inpatient mortality with a first episode of SBP has been estimated to range from 10% to 50%, with older age and intensive care unit stay portending a higher mortality risk. The mortality at 1 year after diagnosis of SBP ranges from 31% to 93%. Given the severity and high mortality with SBP, diagnosis and treatment of SBP should not wait for microbiology results but should be determined by the initial ascitic fluid analysis and the polymorphonuclear neutrophil count.

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