What is the definition of Spontaneous Bacterial Peritonitis?

The peritoneum is the thin tissue that lines the inner wall of the abdomen and covers most of the organs. Peritonitis is present when this tissue becomes inflamed or infected.

Spontaneous bacterial peritonitis (SBP) is present when this tissue becomes infected and there is no clear cause.

What are the alternative names for Spontaneous Bacterial Peritonitis?

Spontaneous bacterial peritonitis (SBP); Ascites - peritonitis; Cirrhosis - peritonitis

What are the causes for Spontaneous Bacterial Peritonitis?

SBP is most often caused by infection in fluid that collects in the peritoneal cavity (ascites). The fluid buildup often occurs with advanced liver or kidney disease.

Risk factors for liver disease include:

  • Very heavy alcohol use
  • Chronic hepatitis B or hepatitis C
  • Other diseases that lead to cirrhosis

SBP also occurs in people who are on peritoneal dialysis for kidney failure.

Peritonitis may have other causes. These include infection from other organs or leakage of enzymes or other toxins into the abdomen.

What are the symptoms for Spontaneous Bacterial Peritonitis?

Symptoms include:

  • Abdominal pain and bloating
  • Abdominal tenderness
  • Fever
  • Low urine output

Other symptoms include:

  • Chills
  • Joint pain
  • Nausea and vomiting

What are the current treatments for Spontaneous Bacterial Peritonitis?

Treatment depends on the cause of the SBP.

  • Surgery may be needed if SBP is caused by a foreign object, such as a catheter used in peritoneal dialysis.
  • Antibiotics to control infection.
  • Fluids given through the veins.

You will need to stay in the hospital so health care providers can rule out other causes such as a ruptured appendix and diverticulitis.

What is the outlook (prognosis) for Spontaneous Bacterial Peritonitis?

In most cases, the infection can be treated. However, kidney or liver disease may limit recovery.

What are the possible complications for Spontaneous Bacterial Peritonitis?

Complications may include:

  • Loss of brain function occurs when the liver is unable to remove toxins from the blood.
  • Kidney problem caused by liver failure.
  • Sepsis.

When should I contact a medical professional for Spontaneous Bacterial Peritonitis?

Call your provider if you have symptoms of peritonitis. This can be a medical emergency situation.

How do I prevent Spontaneous Bacterial Peritonitis?

Steps should be taken to prevent infection in people with peritoneal catheters.

Continuous antibiotics may be used:

  • To prevent peritonitis from coming back in people with liver failure
  • To prevent peritonitis in people who have acute gastrointestinal bleeding due to other conditions
Peritoneal sample

REFERENCES

Garcia-Tsao G. Cirrhosis and its sequelae. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 144.

Kuemmerle JF. Inflammatory and anatomic diseases of the intestine, peritoneum, mesentery, and omentum. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 133.

Sola E, Gines P. Ascites and spontaneous bacterial peritonitis. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 93.

  • Condition: Prevention of Spontaneous Bacterial Peritonitis in Patients with Liver Cirrhosis
  • Journal: Acta gastro-enterologica Belgica
  • Treatment Used: Antibiotic Prophylaxis, Norfloxacin
  • Number of Patients: 0
  • Published —
This review of the literature evaluated the safest and most effective prophylactic antibiotic for the prevention of spontaneous bacterial peritonitis in patients with liver cirrhosis.
  • Journal: International journal of environmental research and public health
  • Published —
Mortality Risk and Decompensation in Hospitalized Patients with Non-Alcoholic Liver Cirrhosis: Implications for Disease Management.