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Peritonitis

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Whenever you stick something foreign into the body, especially a body cavity

that is sterile (the inside of your abdomen and a big needle), you risk

infection, in this case peritonitis. This is fairl common in people doing

peritoneal dialysis and having run a dialysis program I saw this every few

months. We don't use antibiotic prophylaxis when we tap the peritoneal

cavity for ascites because you risk creating a very difficult to treat

infection then or down the road or causing an infection with C. difficile, a

very tough infection to treat and very debilitating. But having said this,

ascites is no fun to have, especially if it is severe. This is why they

sometimes put a shunt in return the fluid to the venous system. Not often,

but sometimes.

--

Aubrey

MD, PSC 1981, LTX 10/5/98

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