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SBP and Transplant — SCE Infectious Diseases MCQ

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HardHepatitisSBP and TransplantSCE Infectious Diseases

A patient with decompensated cirrhosis survives spontaneous bacterial peritonitis. What long-term implication should be discussed once infection is controlled?

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Correct answer: B — Refer for liver-transplant assessment because SBP marks advanced decompensation and poor prognosis after review

The best answer is “Refer for liver-transplant assessment because SBP marks advanced decompensation and poor prognosis after review”. An episode of SBP is a major decompensating event; secondary prophylaxis and transplant assessment should proceed in parallel after acute control. “Wait for five further SBP episodes before referral” does not match the decisive clinical feature or cited guidance. “Exclude the patient permanently from transplantation” does not match the decisive clinical feature or cited guidance. “Require sterile ascites indefinitely before referral” does not match the decisive clinical feature or cited guidance. “Treat SBP as unrelated to transplant candidacy” does not match the decisive clinical feature or cited guidance.

Reference: NICE NG50 cirrhosis recommendations: https://www.nice.org.uk/guidance/ng50/chapter/recommendations