Question

A 69-year-old man with suspected SBP has ascitic PMN 180 cells/µL and positive culture for E. coli. Repeat paracentesis shows PMN 280 cells/µL. Best interpretation/management?

Accepted Answer

Start rifaximin only

Answer

Do not treat; PMN <500

Answer

Treat with ceftriaxone and albumin dosing

Answer

Treat with vancomycin only

Answer

No antibiotics; observe 24 h

Practice question

A 69-year-old man with suspected SBP has ascitic PMN 180 cells/µL and positive culture for E. coli. Repeat paracentesis shows PMN 280 cells/µL. Best interpretation/management?