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266822

Ascitic Calprotectin, as a Potential Diagnostic and Prognostic Marker of Spontaneous Bacterial Peritonitis

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Last updated: 30 Jan 2023

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Abstract

Background: The presence of an elevated absolute polymorphonuclear leukocyte count in the ascitic fluid (>250 cells/mm3) in combination with a positive ascitic fluid bacterial culture is diagnostic of spontaneous bacterial peritonitis. Among the families of calcium-binding proteins known as S100, calprotectin belongs to the subfamily known as calgranulins. Objective: The aim of the current work was to examine the value of ascitic fluid calprotectin for the diagnosis and prognosis of spontaneous bacterial peritonitis in people with liver cirrhosis. Patients and Methods: Between April 2018 and May 2019, 50 Egyptians with liver cirrhosis and ascites were recruited. Forty individuals with spontaneous bacterial peritonitis (SBP) and 10 patients with ascites without SBP were studied. Biochemical, bacterial, and ascitic calprotectin level, as well as diagnostic paracentesis, were performed to all patients. Results: When comparing individuals with cirrhosis and SBP to those without SBP, the level of calprotectin in the ascitic fluid was significantly higher in SBP patients (P= 0.000). Its mean values were statistically significantly reduced after treatment of SBP in comparison to its level before treatment [reduced from 626.75 ± 188.05 to 251.25 ± 223.13 ug/l] with p value 0.000. At a cutoff value of >320 ug/l, ascitic calprotectin may be a possible marker of development of SBP among cirrhotic patients with ascites with 95% sensitivity and 90% specificity. Conclusion: It could be concluded that ascitic fluid calprotectin may be useful in the diagnosis and prognosis of patients with liver cirrhosis and spontaneous bacterial peritonitis.  

DOI

10.21608/ejhm.2022.266822

Keywords

Liver cirrhosis, Spontaneous Bacterial Peritonitis, Calprotectin

Authors

First Name

Hany Samir

Last Name

Rasmy

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First Name

Kadry Mohamed

Last Name

El Saeed

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Orcid

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First Name

Engy Yousry

Last Name

El Sayed

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First Name

Fatma Badawy Mansour

Last Name

Al Hajajy

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First Name

Amira R.

Last Name

El-Ansary

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Email

amira.elansary@must.edu.eg

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-10-23

Publish Date

2022-10-01

Page Start

5,941

Page End

5,948

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_266822.html

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https://ejhm.journals.ekb.eg/service?article_code=266822

Order

284

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

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Article

Created At

22 Jan 2023