Paracentesis

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SBP

1) >500 WBC or >250 PMNs

or

2) Positive gm stain (single microbe)


CONSIDER PERITONITIS (eg. perf appy, chole)

Any:

1) >10,000 WBC

2) Polymicrobial gm stain

3) Total protein >1g/dL

4) Glu <50

5) Increased LDH


IF PERITONEAL DIALYSIS (SBP)

1) >100WBC OR >50% NEUT


IF NIGHTLY (APD)

1) >50%NEUT

  • Send Amyase (>100 suggestive of intra-abd process)


    • Placing Cx in BCx tube increases yield


12/06 DONALDSON