Teaching Pearls

• Aeromonas is a Gram Negative Rod and is the third leading cause of SBP in Korea
• It causes a warm season diarrheal disease
• Remember the three indications for SBP prophylaxis:
  • History of SBP, lifelong prophylaxis
  • Cirrhosis with GI Bleed, 7 days of prophylaxis
  • Ascitic protein < 1, prophylax while inpatient
• Don’t forget to give Albumin 1.5grams/kg on Day 1 and 1.0gram/kg on Day 3 for patients with SBP
• Remember to think about secondary bacterial peritonitis (from intestinal perforation, PUD) in the differential for SBP
• Check out this review on AeromonasSBP!