Antibiotic prophylaxis and treatment in patients with cirrhosis

 Cirrhosis and complications

Channel 4
English
Interactive Session
28 August 2020 17:00 - 18:00

Patients with decompensated cirrhosis from any cause are highly susceptible to infection leading to organ failure. Although treatment for all other complications of cirrhosis have improved, the mortality risk from infection or sepsis appears to be increasing. Appropriate antimicrobial therapy is the cornerstone of successful therapy, however, microbiological tests frequently fail to culture a casual organism and therefore treatment is often empirical. Prevention with antibiotic prophylaxis has been shown to have benefit, however, this may increase the prevalence of antimicrobial resistance. Our session takes the format of two pro-con debates that will address:

  • Which patients might benefit from prophylactic antibiotic treatment.
  • Developing an antibiotic treatment strategy in patients suspected to have infection clinically but that have cultured no micro-organisms.

Presentations

Title Time

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Introduction
28 August 2020 17:00 - 17:01
First half-session: Pros vs Cons of antibiotic prophylaxis for patients with advanced cirrhosis
28 August 2020 17:01 - 17:01
Vote
28 August 2020 17:01 - 17:04
Pros
28 August 2020 17:04 - 17:12
Cons
28 August 2020 17:12 - 17:20
Discussion & audience questions
28 August 2020 17:20 - 17:27
Vote
28 August 2020 17:27 - 17:30
Second half session: Pros vs Cons of aggressive anti-microbial therapy vs early cessation in advanced cirrhosis
28 August 2020 17:30 - 17:30
Pros
28 August 2020 17:30 - 17:38
Cons
28 August 2020 17:38 - 17:46
Discussion & audience questions
28 August 2020 17:46 - 17:56
Vote
28 August 2020 17:56 - 17:59
Conclusion
28 August 2020 17:59 - 18:00