Beta
249845

Role of 16s rRNA Gene in Early Diagnosis of Spontaneous Bacterial Peritonitis in Cirrhotic Ascitic Patients

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Diagnostics

Abstract

Background: Ascites is a recognized problem in patients with decompensated liver cirrhosis. Spontaneous bacterial peritonitis (SBP) is a massive problem in patients who suffer from cirrhosis with ascites. Early bacterial detection allows great intervention to stop SBP. 16S ribosomal RNA (rRNA) is a universal gene used to detect different bacteria present within a sample. Objectives: This study aimed to evaluate the efficacy of broad range 16S rRNA gene polymerase chain reaction (PCR) in diagnosis of ascitic fluid (AF) infection. Methodology: Fifty cirrhotic ascitic patients were undergone to full history, clinical examination, laboratory tests including, AF specimens analysis for polymorph nuclear leucocytic (PMN) count, culture for bacteria and PCR- for DNA detection of bacteria. Results: Bacteria were separated from 21 (42%) of samples of ascitic fluid, and they were mainly Gram-negative bacteria. The sensitivities of culture for bacteria and PCR in diagnosing AF infection were 53% and 86% respectively, while the accuracies were 62% and 74% respectively relation with PMNL. Conclusions: Bacterial DNA in AF samples may be another method for diagnosis AF infection rather than bacterial culture and PMN count for early detection and treatment of AF infection.

DOI

10.21608/ejmm.2020.249845

Keywords

Spontaneous Bacterial Peritonitis, 16S ribosomal RNA, AF culture, Polymorph nuclear leucocytic count

Authors

First Name

Yasser

Last Name

Ismail

MiddleName

M.

Affiliation

Departments of Clinical Pathology, Faculty of Medicine, Benha University

Email

-

City

-

Orcid

-

First Name

Omaima

Last Name

Abbas

MiddleName

M.

Affiliation

Clinical Pathology Department, National Liver Institute, Menoufia University

Email

-

City

-

Orcid

-

First Name

Hala

Last Name

El Feky

MiddleName

M.

Affiliation

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

Email

-

City

-

Orcid

-

First Name

Afaf

Last Name

Khamiss

MiddleName

F.

Affiliation

Departments of Clinical Pathology, Faculty of Medicine, Benha University

Email

-

City

-

Orcid

-

First Name

Sara

Last Name

Saied

MiddleName

A.

Affiliation

Clinical Pathology Department, National Liver Institute, Menoufia University

Email

sarasaied@ymail.com

City

-

Orcid

-

Volume

29

Article Issue

1

Related Issue

35680

Issue Date

2020-01-01

Receive Date

2022-07-19

Publish Date

2020-01-01

Page Start

21

Page End

26

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_249845.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=249845

Order

249,845

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Role of 16s rRNA Gene in Early Diagnosis of Spontaneous Bacterial Peritonitis in Cirrhotic Ascitic Patients

Details

Type

Article

Created At

23 Jan 2023