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193972

Evaluation of Ascitic Fluid Neutrophil Gelatinase Associated Lipocalin in patients with Spontaneous Bacterial Peritonitis

Article

Last updated: 22 Jan 2023

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Abstract

Background: A common bacterial infection of ascitic fluid in ascites due to liver cirrhosis is spontaneous bacterial peritonitis. Human neutrophil granules release a 24 KDA glycoprotein called neutrophil gelatinase associated lipocalin (NGAL). (NGAL) is a tissue injury and infection marker. Aim: The aim of this study was to determine the amount of NGAL in ascitic fluid in patients with liver cirrhosis and spontaneous bacterial peritonitis. Methodologies: A total of 85 patients with cirrhotic ascites were included in the study. SBP was used in 42 of them. The seriousness of liver cirrhosis was assessed using the Child-Pugh score, the Model for End Stage Liver Disease (MELD), and its update (uMELD) scores. Ascitic fluid samples were collected for leucocytic count differentiation, albumin, protein, glucose estimation, and the serum-ascitic albumin gradient. Both patients had their NGAL levels measured in their ascitic fluid. If the polymorph-nuclear leucocytic count in ascetic fluid was less than 250/mm3, SBP was diagnosed. Results: The level of NGAL in ascitic fluid was significantly higher in patients with SBP. ROC analysis of ascitic NGAL as a marker for SBP diagnosis revealed: sensitivity of 97.62 percent, specificity of 97.67 percent, and area under curve (AUC) of 0.974 at a cut-off value of 100.8 (ng/dl). White blood cells, polymorph nuclear cells (PNCs) in ascitic fluid, Child Pugh score, MELD score, and uMELD score all had a good association with NGAL. Conclusion: In patients with spontaneous bacterial peritonitis, ascitic fluid NGAL may be a useful diagnostic marker.

DOI

10.21608/bmfj.2021.73302.1410

Keywords

Neutrophil Gelatinase Associated Lipocalin (NGAL), ascites, Spontaneous bacterial peritonitis (SBP), Cirrhosis

Authors

First Name

Hossam

Last Name

Biomy

MiddleName

Ameen

Affiliation

Department of hepatology and gastroenterology -Faculty of medicine-Benha University

Email

hossam.mohamed@fmed.bu.edu.eg

City

Benha

Orcid

-

First Name

Naglaa

Last Name

Ramadan

MiddleName

Elthoukhy

Affiliation

Department of hepatology and gastroenterology-Faculty of Medicine-Benha University

Email

naglaaeltoukhy@yahoo.com

City

Benha

Orcid

-

First Name

Seham

Last Name

Ameen

MiddleName

Gouda

Affiliation

Department of clinical pathology-Faculty of medicine-Benha University

Email

dr.seham_gouda@hotmail.com

City

Benha

Orcid

-

First Name

Alaa El din

Last Name

Kandil

MiddleName

Ibrahim

Affiliation

Department of hepatology and gastroenterology-Faculty of medicine-Benha University

Email

alaakandeel104@yahoo.com

City

Benha

Orcid

-

First Name

Zainab

Last Name

Galal

MiddleName

wageeh

Affiliation

Department of hepatology and gastroenterology -Faculty of medicine-Benha University

Email

z.wageeh@yahoo.com

City

Benha

Orcid

-

Volume

38

Article Issue

3

Related Issue

28886

Issue Date

2021-11-01

Receive Date

2021-04-20

Publish Date

2021-11-01

Page Start

951

Page End

961

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_193972.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=193972

Order

181

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023