How do you diagnose spontaneous bacterial peritonitis?

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How do you diagnose spontaneous bacterial peritonitis?

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Title: How do you diagnose spontaneous bacterial peritonitis?
Author: Dickerson, Keith; Duvall, Ryan
Keywords: white blood cell count
neutrophil count
biomarker testing
Date: 2011-10
Publisher: Family Physicians Inquiries Network
Citation: Evidence Based Practice 14(10): 08-09.
Series/Report no.: Help Desk Answers
Abstract: Ascitic fluid containing >500 polymorphonuclear leukocytes (PMNs) has the strongest test characteristics, but to minimize false-negative results, a PMN count >250 cells/μL is recommended as the diagnostic cut-point. (SOR: A, based on multiple, consistent diagnostic cohort studies.) Ascitic fluid lactoferrin has recently been utilized as a rapid bedside test, but needs further investigation. (SOR: B, based on a single diagnostic cohort study.) Leukocyte esterase testing has an unsatisfactory sensitivity. (SOR: B, based on a multicenter diagnostic cohort study.)
URI: http://hdl.handle.net/10355/11887

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