Albumin use in spontaneous bacterial peritonitis

Acute renal failure is a common complication in patients with spontaneous bacterial peritonitis (SBP) and is associated with a high risk of mortality. 

Module overview

Acute renal failure is a common complication in patients with spontaneous bacterial peritonitis (SBP) and is associated with a high risk of mortality. 

This module discusses the uses of albumin in treating patients with SBP.

Key Takeaways

  • Acute renal failure is a common complication in patients with SBP and is associated with a high risk of mortality
  • Systemic inflammation caused by SBP is responsible for a severe splanchnic vasodilation and a reduction in cardiac contractility causing a reduction in effective circulating volume and renal hypoperfusion
  • The administration of albumin at the dose of 1.5 gr/kg of body weight on day 1 and 1 gr/kg of body weight on day 3 reduces the incidence of ARF and improves survival in patients with SBP
  • Human albumin exerts an anti-inflammatory effects on the heart of patients with cirrhosis and improves cardiac contractility

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