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223316

Predictors of Recurrence of Spontaneous Bacterial Peritonitis in Cirrhotic Ascitic Patients

Article

Last updated: 24 Dec 2024

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Abstract

Background: Spontaneous bacterial peritonitis (SBP) is widely common infection in cirrhosis. Deferral in diagnosis and treatment exposes the patients to a high risk of complications and death. Recurrence of SBP occurs in many patients however there is insufficient regional and no local data on factors responsible for its recurrence. Objectives: The aim of the current work was to know the predictors of recurrence of SBP in cirrhotic ascitic patients and to evaluate the impact of some scores as predictors. Patients and methods: The study was done in Tropical Medicine and Gastroenterology Department, Sohag University Hospital. All patients with liver cirrhosis, ascites and SBP were subjected to complete clinical, ultrasonographic and laboratory evaluation. The patients were followed up for one year after management of the 1st episode and categorized into 2 groups according to absence or presence of recurrence of SBP. Results: Hundred patients with SBP were included. Univariate analysis showed that hematemesis, abdominal pain, multiple paracentesis, urinary tract infection, prolonged use of PPI, low serum sodium, high serum bilirubin and high MELD score were significant variables responsible for recurrence. Multivariate analysis showed that multiple paracentesis, urinary tract infection and low serum sodium were the highly risk factors for recurrence. Conclusions: It could be concluded that multiple paracentesis, urinary tract infection and low serum sodium were the highly independent risk factors for recurrence of SBP.  

DOI

10.21608/ejhm.2022.223316

Keywords

Liver cirrhosis, ascites, Spontaneous Bacterial Peritonitis

Authors

First Name

Mahmoud Saif-

Last Name

Al-Islam

MiddleName

-

Affiliation

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Email

happyyear5000@yahoo.com

City

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Orcid

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First Name

Usama

Last Name

Abdelaal

MiddleName

M

Affiliation

Department of Internal Medicine, Sohag University Hospital , Egypt

Email

osamelaal74@yahoo.com

City

-

Orcid

0000-0001-9998-668

First Name

Salwa

Last Name

Mohammed

MiddleName

-

Affiliation

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Email

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City

-

Orcid

-

First Name

Mohamed

Last Name

Malak

MiddleName

-

Affiliation

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Email

m.malak500@yahoo.com

City

-

Orcid

0000-0002-4373-6259

First Name

Asmaa Naser

Last Name

Mohammad

MiddleName

-

Affiliation

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Email

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City

-

Orcid

-

Volume

87

Article Issue

1

Related Issue

31467

Issue Date

2022-04-01

Receive Date

2022-03-07

Publish Date

2022-04-01

Page Start

1,263

Page End

1,269

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_223316.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=223316

Order

45

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Predictors of Recurrence of Spontaneous Bacterial Peritonitis in Cirrhotic Ascitic Patients

Details

Type

Article

Created At

22 Jan 2023