Are recommendations of our S3-guidelines for antibiotic treatment in patients with spontaneous bacterial peritonitis up to date?
K Friedrich, S Nüssle, A Mischnik, W Stremmel, C Eisenbach · Zeitschrift für Gastroenterologie · 2015 · Heft 08
Bibliografische Angaben
Zusammenfassung
Background: Current recommendations for empirical antimicrobial therapy in spontaneous bacterial peritonitis (SBP) are based on quite old trials. Since microbial epidemiology and the management of patients have changed, whether these recommendations are still appropriate must be confirmed. Methods: Patients with their first episode of SBP were analyzed regarding the antimicrobial agents, antibiotic resistances and survival. Results: There were 219 men and 92 women, most of whom presented severe cirrhosis (51.8% Child C, 42.4% Child B and 5.8% Child A) with a median Child score of 9.5 ± 1.9. Of the 311 cirrhotic…