Paracentesis

Procedure

Placing Cx in BCx tube increases yield

Diagnosis

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 on Peritoneal Dialysis

SBP if: 1) >100WBC OR >50% NEUT

If on Nightly APD

SBP if:

1. >50%NEUT
2. Amyase (>100 suggestive of intra-abd process)

Source

12/06 DONALDSON