SBP Criteria

SBP Criteria: Ascitic PMN threshold and clinical deterioration determine spontaneous bacterial peritonitis urgency.

Clinical Factors

Assessment Tier

Low Immediate Support

Score 0

Selected profile does not strongly support SBP.

Guidelines & Evidence

Clinical Details

Section 1

When to Use

Use during early bedside triage when infection severity or treatment escalation is uncertain.

Support clinician judgement with a structured review of the highest-yield risk factors.

Standardise communication between admitting, ID, ICU, and pharmacy teams.

Section 2

Formula & Logic

Scoring Logic

Ascitic PMN ≥250 cells/mm³ (+3)

Positive ascitic culture (+2)

Fever or abdominal pain (+1)

AKI or encephalopathy (+2)

GI bleed / severe cirrhosis context (+1)

Sepsis or shock physiology (+2)

Section 3

Next Steps

Clinical Actions

Interpret the result together with source control, microbiology, host factors, and trajectory.

Escalate imaging, cultures, or specialist review when the tool lands in a high-risk tier.

Reassess dynamically if the patient deteriorates or new microbiology becomes available.

Section 4

Pearls/Pitfalls

Important Caveat

This tool supports structured infectious-disease decision making but does not replace clinician judgement or local guideline pathways.

Section 5

Evidence Appraisal

Evidence Base

This OpiCalc infectious-disease entry reflects commonly used guideline criteria and bedside risk features used in contemporary clinical practice.

Last Comprehensive Review: 2026

Related Infectious Disease Tools

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Parapneumonic Effusion Complexity

Parapneumonic PH Management

PCP Prophylaxis

PENS Score

Peritonsillar Abscess Score

PID Severity Classification

Pitt Bacteremia Score

PrEP Candidacy

Procalcitonin Stop Rule

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