Paracentesis

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