What is the significance of a finding of monomicrobial nonneutrocytic bacterascites in the evaluation of peritonitis?

Updated: Jul 23, 2019
  • Author: Brian J Daley, MD, MBA, FACS, FCCP, CNSC; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

Monomicrobial nonneutrocytic bacterascites exists when a positive culture result coexists with a PMN count of less than 250 cells/µL. Although this may often be the result of contamination of bacterial cultures, 38% of these patients develop SBP. Therefore, monomicrobial nonneutrocytic bacterascites may represent an early form of SBP. All study patients described who eventually developed SBP were symptomatic. For this reason, any patient suspected clinically of having SBP in this setting must be treated.


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