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. test, 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". test, 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', test, 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. test, 2018; 2.2(2): 25-29. doi: 10.21608/mjvh.2018.55738

The Predictive Factors for Recurrence of Spontaneous Bacterial Peritonitis

Medical Journal of Viral Hepatitis
Article 5, Volume 2.2, Issue 2, March 2018, Pages 25-29    PDF (128.58 K)
Document Type: Original article
DOI: 10.21608/mjvh.2018.55738
Authors
Zakaria Sahar1; Mousa Nasser1; Abd EL Maksoud Mohamed1; Shabana Walaa1; Effat Narmin2; Awad Mahmoud3; Eldesoky Abd Elmohsen3; Sheta Tarek3; El-Wakeel Niveen4; Moemen Dalia4; Mikhail Nabiel5
1Tropical Medicine dept., Mansoura Univ., Egypt.
2Clinical Pathology dept., Mansoura Univ., Egypt
3Internal Medicine dept., Mansoura Univ., Egypt.
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..
Keywords
SBP; Recurrence; Hypoalbuminemia; PMN count and hepatorenal syndrome (HRS)
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