Pathogenic bacteria characteristics and antimicrobial treatment plan for liver cirrhosis combined with spontaneous bacterial peritonitis
10.3760/cma.j.cn501113-20191030-00400
- VernacularTitle:肝硬化合并自发性细菌性腹膜炎致病菌特征及抗菌治疗方案
- Author:
Sumeng LI
1
;
Jing LIU
;
Xin ZHENG
Author Information
1. 华中科技大学同济医学院附属协和医院感染科 感染与免疫研究所,武汉 430022
- Keywords:
Liver cirrhosis;
Spontaneous bacterial peritonitis;
Multidrug-resistant bacteria;
Antimicrobial strategies
- From:
Chinese Journal of Hepatology
2021;29(7):716-720
- CountryChina
- Language:Chinese
-
Abstract:
Spontaneous bacterial peritonitis (SBP) is a common complication in patients with liver cirrhosis, and it is also an important inducement for patients with liver cirrhosis to develop into an acute decompensated stage, and thereby has become the concern and difficulties of clinical treatment. SBP pathogenic bacteria varies with time and region, and the confirmed detection rate of Gram-positive bacteria and multidrug-resistant bacteria has been increasing year by year. Therefore, whether the antimicrobial treatment plan based on the previous guidelines is still applicable remains to be further explored. This paper focuses on introducing the pathogenic bacteria characteristics for cirrhosis combined with SBP in different study populations, different regions, different time, and different infection modes, and further summarizes empirical antimicrobial treatment plan according to the changes of SBP pathogenic bacteria, in order to provide theoretical basis for clinical treatment.