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17843

Role of Calprotectin in Diagnosis of Spontaneous Bacterial Peritonitis in Cirrhotic Patients with Ascites

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Hepatology

Abstract

Background and study aim: The most common infection in decompensated hepatic patients with cirrhotic ascites  is spontaneous bacterial peritonitis (SBP), which occurs in the absence of an evident intra-abdominal source of infection. The aim of this work is to assess the value of calprotectin in ascitic fluid in diagnosis of spontaneous bacterial peritonitis in patients with liver cirrhosis. Patients and Methods: In this cross section study, 80 cirrhotic patients were divided into (group A) 40 patients with non SBP and (group B) 40 patients with SBP, who attended the Hepatology Department Benha University Hospital. All the patients were evaluated by thorough history, clinical examination, laboratory investigations, ultrasonongraphy, diagnostic paracentesis with PMNLs count and Calprotectin which was measured in 1 mL ascetic fluid by ELIZA. Results: Calprotectin was high in SBP group with a highly statistical significant difference in SBP group compared to non SBP group so it can serve as a sensitive and specific diagnostic test for detection of SBP in cirrhotic patients with ascites. The sensitivity of the test was 90% with specificity of 62.5%, PPV of 70.5% and NPV of 86.5% with the cut-off level were 2.98 ng /ml and the area under the curve was 0.88. Conclusion: Ascitic calprotectin reliably predicts PMN count >250/μL, which may prove useful in the diagnosis of SBP, especially with a readily available bedside testing device.

DOI

10.21608/aeji.2015.17843

Keywords

Calprotectin, ascites, Spontaneous Bacterial Peritonitis

Authors

First Name

Magdy

Last Name

Gad

MiddleName

A

Affiliation

Hepatology, Gastroenterology and Infectious Diseases Department, Faculty of Medicine, Benha University, Benha, Egypt.

Email

dralaa2005@yahoo.com

City

-

Orcid

-

First Name

Mohammad

Last Name

EL-Shewi

MiddleName

E

Affiliation

Hepatology, Gastroenterology and Infectious Diseases Department, Faculty of Medicine, Benha University, Benha, Egypt.

Email

-

City

-

Orcid

-

First Name

Jehan

Last Name

Sabry

MiddleName

H

Affiliation

Clinical and Chemical Pathology Departments , Faculty of Medicine, Benha University, Benha,Egypt

Email

-

City

-

Orcid

-

First Name

Abdelmonem

Last Name

Zawawy

MiddleName

ME

Affiliation

Hepatology, Gastroenterology and Infectious Diseases Department, Shebein El-Kom Teaching Hospital, Shebein El-Kom, Egypt.

Email

-

City

-

Orcid

-

Volume

5

Article Issue

4

Related Issue

3730

Issue Date

2015-12-01

Receive Date

2015-12-03

Publish Date

2015-12-26

Page Start

226

Page End

234

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_17843.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=17843

Order

3

Type

Original Article

Type Code

616

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023