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55738

The Predictive Factors for Recurrence of Spontaneous Bacterial Peritonitis

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Last updated: 03 Jan 2025

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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..

DOI

10.21608/mjvh.2018.55738

Keywords

SBP, Recurrence, Hypoalbuminemia, PMN count and hepatorenal syndrome (HRS)

Authors

First Name

Zakaria

Last Name

Sahar

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Affiliation

Tropical Medicine dept., Mansoura Univ., Egypt.

Email

sahar_mnm3@yahoo.com

City

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Orcid

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First Name

Mousa

Last Name

Nasser

MiddleName

-

Affiliation

Tropical Medicine dept., Mansoura Univ., Egypt.

Email

drahmedyaser23@gmail.com

City

-

Orcid

-

First Name

Abd EL Maksoud

Last Name

Mohamed

MiddleName

-

Affiliation

Tropical Medicine dept., Mansoura Univ., Egypt.

Email

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City

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Orcid

-

First Name

Shabana

Last Name

Walaa

MiddleName

-

Affiliation

Tropical Medicine dept., Mansoura Univ., Egypt.

Email

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City

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Orcid

-

First Name

Effat

Last Name

Narmin

MiddleName

-

Affiliation

Clinical Pathology dept., Mansoura Univ., Egypt

Email

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City

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Orcid

-

First Name

Awad

Last Name

Mahmoud

MiddleName

-

Affiliation

Internal Medicine dept., Mansoura Univ., Egypt.

Email

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Orcid

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First Name

Eldesoky

Last Name

Abd Elmohsen

MiddleName

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Affiliation

Internal Medicine dept., Mansoura Univ., Egypt.

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Orcid

-

First Name

Sheta

Last Name

Tarek

MiddleName

-

Affiliation

Internal Medicine dept., Mansoura Univ., Egypt.

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Orcid

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First Name

El-Wakeel

Last Name

Niveen

MiddleName

-

Affiliation

Microbiology and Immu-nology dept., Mansoura Univ., Egypt

Email

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City

-

Orcid

-

First Name

Moemen

Last Name

Dalia

MiddleName

-

Affiliation

Microbiology and Immu-nology dept., Mansoura Univ., Egypt

Email

-

City

-

Orcid

-

First Name

Mikhail

Last Name

Nabiel

MiddleName

-

Affiliation

Egyptian Liver Research Institute and Hospital (ELRIH), Sherbin, El-Mansoura, Biostatistics dept., South Egypt Cancer Institute, Assiut Univ., Egypt.

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Volume

2.2

Article Issue

2

Related Issue

8498

Issue Date

2018-03-01

Receive Date

2017-07-17

Publish Date

2018-03-01

Page Start

25

Page End

29

Print ISSN

2314-8748

Online ISSN

2314-8756

Article File

MJVH_Volume 2.2_Issue 2_Pages 25-29.pdf

PDF . 131.7kB

Link

https://mjvh.journals.ekb.eg/article_55738.html

Detail API

https://mjvh.journals.ekb.eg/service?article_code=55738

Order

5

Type

Original article

Type Code

477

Publication Type

Journal

Publication Title

Medical Journal of Viral Hepatitis

Publication Link

https://mjvh.journals.ekb.eg/

MainTitle

The Predictive Factors for Recurrence of Spontaneous Bacterial Peritonitis

Details

Type

Article

Created At

22 Jan 2023