Table 1.
OSH paracentesis | YNHH first paracentesis (day 0) | YNHH second paracentesis (day 7) | YNHH third paracentesis (day 10) | YNHH fourth paracentesis (day 13, First Pocket) | YNHH fourth paracentesis (day 13, Second Pocket) | |
Ascitic fluid WBC count and differential | 2213 nucleated cells/μL (79% granulocytes, 2% lymphocytes) | 6425 nucleated cells/μL (97% granulocytes) | 96 nucleated cells/μL (27% granulocytes, 52% lymphocytes | 3475 nucleated cells/μL (86% granulocytes) | 84 cells/µL (19% granulocytes, 55% lymphocytes) | 4030 cells/µL (90% granulocytes, 1% lymphocytes) |
Ascitic fluid culture | Klebsiella pneumoniae | NG | NG | NG | NG | NG |
Ascitic fluid ADA level | N/A | N/A | N/A | 44 U/L | 12.2 U/L | 42.0 U/L |
Antibiotic treatment | Ceftriaxone for 14 days | Vancomycin and piperacillin-tazobactam | Trimethoprim-sulfamethoxazole for SBP prophylaxis | Vancomycin, ceftriaxone, and metronidazole | Vancomycin and piperacillin-tazobactam | Vancomycin and piperacillin-tazobactam |
ADA, adenosine deaminase; N/A, not available; NG, no growth; OSH, outside hospital; SBP, spontaneous bacterial peritonitis; WBC, white blood count; YNHH, Yale New Haven Hospital.