What is the recommended antibiotic of choice for spontaneous bacterial peritonitis (SBP) in hepatorenal syndrome (HRS)?

Updated: Oct 16, 2017
  • Author: Deepika Devuni, MD; Chief Editor: BS Anand, MD  more...
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Answer

Guidelines from the British Society of Gastroenterology, the European Association for the Study of the Liver (EASL) and the American Association for the Study of Liver Diseases (AASLD) recommend cefotaxime as the antibiotic of choice for SBP and large-volume paracentesis for the management of ascites greater than 5 L in volume. [18] For HRS, cautious diuresis, volume expansion with albumin and the use of vasoactive drugs are recommended.


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