23rd July 2023

You are reviewing the medication of a patient with cirrhosis, secondary to alcohol excess

You are reviewing the medication of a patient with cirrhosis, secondary to alcohol excess. She has decompensated disease with ascites, but has never had spontaneous bacterial peritonitis. They are currently taking thiamine, multivitamins and spironolactone. You have heard that some patients with cirrhosis and ascites receive antibiotic prophylaxis for SBP.

What is the criterion for offering primary prophylaxis for SBP?

Select the SINGLE most appropriate option from the list below. Select ONE option only.