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학습 자료 둘러보기 →Upon recognizing the classic triad of cloudy effluent, abdominal pain, and fever, the absolute priority is to obtain a peritoneal effluent sample for cell count, Gram stain, and culture.
The sample must be collected before initiating any empiric antibiotic therapy to maximize the pathogen identification rate. A dwell time of at least 2 hours is recommended before draining the sample.
Do not delay antibiotics unnecessarily after the culture is obtained. If the patient shows signs of sepsis or severe pain, administer empiric antibiotics immediately after specimen collection, targeting both gram-positive and gram-negative organisms per ISPD guidelines.
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