GI / Hepatology
Spontaneous Bacterial Peritonitis (SBP)
Diagnostic paracentesis, antibiotics, albumin infusion, secondary prophylaxis with norfloxacin / cipro.
Source: BSG / EASL 2018
Step 1 of ~4
info
Recognise — Cirrhotic with Ascites
Suspect in any cirrhotic with ascites + ANY of: fever, abdominal pain, encephalopathy, hypotension, AKI, GI bleed. Also screen all cirrhotic admissions with ascites at diagnostic paracentesis even if asymptomatic. Bloods: FBC, U&E, LFTs, CRP, lactate, blood culture × 2 sets.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Atovaquone · Antiparasitic / Antifungal — PCP Prophylaxis / Treatment / Malaria
- Atovaquone with Proguanil Hydrochloride · Antimalarial (Combination — Prophylaxis and Treatment)
- Fluorescein with lidocaine · Topical anaesthetic + diagnostic dye
- Dipyridamole (Secondary Stroke Prevention) · Antiplatelet — Phosphodiesterase Inhibitor / Adenosine Uptake Inhibitor
- Neostigmine · Anticholinesterase (Reversal Agent)
- Prilocaine · Local Anaesthetic (Amide)
Pathways
- Lower Gastrointestinal Bleed · BSG 2019; NICE NG141
- Variceal Upper GI Bleed · BSG 2015; Baveno VII (2022)
- Hepatorenal Syndrome · EASL 2018; ICA 2015
- Hepatic Encephalopathy · EASL 2014; West Haven criteria
- Clostridioides difficile Colitis · NICE NG199 (2021); IDSA/SHEA 2021
- Acute Severe Ulcerative Colitis · BSG 2019; ECCO 2022
Decision support only. Always apply local guidelines and clinical judgement.