Beta
22655

Current Evaluation of Sepsis among Patients with Liver Cirrhosis

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Hepatology
Infectious diseases

Abstract

Background and study aim: patients with liver cirrhosis have high incidence of sepsis. Spontaneous bacterial peritonitis and urinary tract infections are the most common infections among patients with livercirrhosis.New criteria including quick qSOFA and sepsis-3 criteria are used for diagnosing sepsis in patients with liver cirrhosis. These criteria appear to be more accurate than SIRS. The aim of this study is to evaluate the existing scoring systems in our patients with liver cirrhosis to identify patients with sepsis. Patients and Methods: This prospective study included 288 consecutive patients previously diagnosed to have liver cirrhosis and suspected to have bacterial/fungal infections. Quick Sequential (sepsis-related) organ failure assessment (qSOFA) criteria and sepsis-3 criteria were used to identify patients with organ dysfunction due to sepsis. Results: qSOFA and sepsis-3 criteria are more accurate than SIRS in detecting sepsis among patients with cirrhosis (The area under the receiver operating characteristic curve (AUROC) value for a model with qSOFA and sepsis-3 was AUROC: 0.77 and 0.76), while AUROC for SIRS was 0.66. Conclusion: Sepsis-3 and qSOFA are more accurate than SIRS criteria in early detection of sepsis among patients with cirrhosis. Patients with positive criteria need intensive management due to high risk of in-hospital mortality.

DOI

10.21608/aeji.2018.22655

Keywords

Sepsis, Cirrhosis, Infection

Authors

First Name

Elsayed

Last Name

Saad

MiddleName

-

Affiliation

Tropical Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

dr.sayedsaad79@gmail.com

City

Zagazig

Orcid

0000-0001-9492-9707

First Name

Olfat

Last Name

Ibrahim

MiddleName

Abdel-Monem

Affiliation

Anesthesia Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

-

City

-

Orcid

-

Volume

8

Article Issue

4

Related Issue

4189

Issue Date

2018-12-01

Receive Date

2018-12-23

Publish Date

2018-12-01

Page Start

182

Page End

188

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_22655.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=22655

Order

4

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