Peritonitis risk factors: Difference between revisions

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==Risk Factors==
==Risk Factors==
Common risk factors for peritonitis are described as follows:<ref name="pmid27282851">Li PK, Szeto CC, Piraino B, de Arteaga J, Fan S, Figueiredo AE et al. (2016) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=27282851 ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment.] ''Perit Dial Int'' 36 (5):481-508. [http://dx.doi.org/10.3747/pdi.2016.00078 DOI:10.3747/pdi.2016.00078] PMID: [https://pubmed.gov/27282851 27282851]</ref>
''Risk factors for development of spontaneous bacterial peritonitis and subsequent mortality in cirrhotic patients with ascites''.<ref name="pmid25644943">{{cite journal| author=Schwabl P, Bucsics T, Soucek K, Mandorfer M, Bota S, Blacky A et al.| title=Risk factors for development of spontaneous bacterial peritonitis and subsequent mortality in cirrhotic patients with ascites. | journal=Liver Int | year= 2015 | volume= 35 | issue= 9 | pages= 2121-8 | pmid=25644943 | doi=10.1111/liv.12795 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25644943  }} </ref>==
* Low serum sodium levels
* Child-Pugh stage C
* Elevated ascites PMN counts (≥100 cells/μl)
* MELD≥22
* Elevated CRP levels
''Common risk factors for peritonitis are described as follows'':<ref name="pmid27282851">Li PK, Szeto CC, Piraino B, de Arteaga J, Fan S, Figueiredo AE et al. (2016) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=27282851 ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment.] ''Perit Dial Int'' 36 (5):481-508. [http://dx.doi.org/10.3747/pdi.2016.00078 DOI:10.3747/pdi.2016.00078] PMID: [https://pubmed.gov/27282851 27282851]</ref>
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Revision as of 21:41, 11 January 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]

Peritonitis Main Page

Patient Information

Overview

Causes

Classification

Spontaneous Bacterial Peritonitis
Secondary Peritonitis

Differential Diagnosis

Overview

Common risk factors for peritonitis in the development of peritonitis include liver disease, dialysis, and abdominal trauma.

Risk Factors

Risk factors for development of spontaneous bacterial peritonitis and subsequent mortality in cirrhotic patients with ascites.[1]==

  • Low serum sodium levels
  • Child-Pugh stage C
  • Elevated ascites PMN counts (≥100 cells/μl)
  • MELD≥22
  • Elevated CRP levels

Common risk factors for peritonitis are described as follows:[2]

Primary Peritonitis Secondary Peritonitis Tertiary Peritonitis
  • Cirrhosis with ascitis
  • Portal hypertension with ascitis
  • Patient with continuous ambulatory peritoneal dialysis (CAPD)
  • Ruptured gastric ulcer, appendicular abscess or diverticular abscess
  • Inflamatory bowel diseases such as chron's disease or ulcerative colitis with toxic megacolon
  • Pelvic inflamatory disease
  • Recent surgical procedures
  • Recent trauma to the abdomen (e.g. Stab injury or gun shot injury)
  • Previous history of severe antibiotic use
  • Treatment failure in patients with primary or secondary peritonitis

References

  1. Schwabl P, Bucsics T, Soucek K, Mandorfer M, Bota S, Blacky A; et al. (2015). "Risk factors for development of spontaneous bacterial peritonitis and subsequent mortality in cirrhotic patients with ascites". Liver Int. 35 (9): 2121–8. doi:10.1111/liv.12795. PMID 25644943.
  2. Li PK, Szeto CC, Piraino B, de Arteaga J, Fan S, Figueiredo AE et al. (2016) ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment. Perit Dial Int 36 (5):481-508. DOI:10.3747/pdi.2016.00078 PMID: 27282851

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