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What is the recommended antibiotic regimen for the treatment of SBP in patients with cirrhosis?

Answer

Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 17 August 2025

For the treatment of spontaneous bacterial peritonitis (SBP) in patients with cirrhosis, the recommended initial antibiotic regimen typically involves a third-generation cephalosporin 2. Cefotaxime is a commonly used empirical antibiotic for community-acquired SBP (Fiore et al., 2018; Maraolo et al., 2018). Other third-generation cephalosporins, such as ceftriaxone, are also considered effective options for empirical treatment (Maraolo et al., 2018). These antibiotics are generally recommended due to their broad-spectrum activity against common causative organisms of SBP (Fiore et al., 2018).

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