Sahar, Z., Nasser, M., Mohamed, A., Walaa, S., Narmin, E., Mahmoud, A., Abd Elmohsen, E., Tarek, S., Niveen, E., Dalia, M., Nabiel, M. (2018). The Predictive Factors for Recurrence of Spontaneous Bacterial Peritonitis. Medical Journal of Viral Hepatitis, 2.2(2), 25-29. doi: 10.21608/mjvh.2018.55738
Zakaria Sahar; Mousa Nasser; Abd EL Maksoud Mohamed; Shabana Walaa; Effat Narmin; Awad Mahmoud; Eldesoky Abd Elmohsen; Sheta Tarek; El-Wakeel Niveen; Moemen Dalia; Mikhail Nabiel. "The Predictive Factors for Recurrence of Spontaneous Bacterial Peritonitis". Medical Journal of Viral Hepatitis, 2.2, 2, 2018, 25-29. doi: 10.21608/mjvh.2018.55738
Sahar, Z., Nasser, M., Mohamed, A., Walaa, S., Narmin, E., Mahmoud, A., Abd Elmohsen, E., Tarek, S., Niveen, E., Dalia, M., Nabiel, M. (2018). 'The Predictive Factors for Recurrence of Spontaneous Bacterial Peritonitis', Medical Journal of Viral Hepatitis, 2.2(2), pp. 25-29. doi: 10.21608/mjvh.2018.55738
Sahar, Z., Nasser, M., Mohamed, A., Walaa, S., Narmin, E., Mahmoud, A., Abd Elmohsen, E., Tarek, S., Niveen, E., Dalia, M., Nabiel, M. The Predictive Factors for Recurrence of Spontaneous Bacterial Peritonitis. Medical Journal of Viral Hepatitis, 2018; 2.2(2): 25-29. doi: 10.21608/mjvh.2018.55738
The Predictive Factors for Recurrence of Spontaneous Bacterial Peritonitis
4Microbiology and Immu-nology dept., Mansoura Univ., Egypt
5Egyptian Liver Research Institute and Hospital (ELRIH), Sherbin, El-Mansoura, Biostatistics dept., South Egypt Cancer Institute, Assiut Univ., Egypt.
Abstract
Background and objectives: Spontaneous bacterial peritonitis (SBP) is a common and critical complication of cirrhosis. The aim of this work is to find the possible predictive factors for recurrence of SBP in decompensated cirrhotic patients. Patients and methods: This study included one hundred and thirty-four cirrhotic ascitic patients who were diagnosed with SBP. The diagnosis of SBP was based on ascitic polymorphonuclear leukocytes (PMN) counts ≥250 cells/mm3. The studied patients were classified into two groups; group 1 included sixtyninth patients with recurrent SBP and group 2; included sixty-five patients with non-recurrent SPB. Results: A significant difference was found between both studied groups as regards the presence of fever, HRS (hepatorenal syndrome, the serum albumin and the ascitic fluid PMN in ascitic cirrhotic patients (P= 0.010, p= 0.001, p=0.021, p= 0.045 respectively). Furthermore, a multivariate analysis revealed that the presence of fever, hepatorenal syndrome, and increased ascitic fluid PMN represent independent variables predict the recurrence of SBP in cirrhotic ascetic patients (p= 0.001 for all). Conclusion: Our study revealed that the presence of fever, HRS, and increased PMN count in ascitic fluid were independent predictors of recurrence of SBP in cirrhotic ascetic patients..
View on SCiNiTO
Top