SBP in Nephrotic Syndrome — RACP Paediatrics MCQ

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HardNephrologySBP in Nephrotic SyndromeRACP Paediatrics

A 3-year-old with nephrotic syndrome has SBP. Ascitic fluid shows >250 neutrophils/mm3, Gram-positive diplococci. Antibiotic?

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Correct answer: C — IV ceftriaxone or cefotaxime

SBP in NS: most commonly S. pneumoniae. IV ceftriaxone/cefotaxime covers pneumococcus and Gram-negatives.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Nephrotic Syndrome