Table 2.
Current Indications of Antibiotic Prophylaxis in Cirrhosis
Indication | Antibiotic Regimen | Duration |
---|---|---|
Gastrointestinal bleeding | Norfloxacin 400 mg/12 hours by mouth | Seven days |
Intravenous ceftriaxone 1 g/day in patients with advanced cirrhosis (at least two of the following: ascites, jaundice, hepatic encephalopathy, malnutrition) | ||
Low protein ascites (<15 g/L) and advanced cirrhosis | Norfloxacin 400 mg/day PO in patients with renal dysfunction (serum creatinine ≥1.2 mg/dL, blood urea nitrogen ≥25 mg/dL, or serum sodium ≤130 mEq/L) and/or poor liver function (Child‐Pugh score ≥9 with serum bilirubin ≥3 mg/dL) | Until liver transplantation, disappearance of ascites, or death |
Secondary prophylaxis for SBP | Norfloxacin 400 mg/day by mouth | Until liver transplantation or death |