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293425

Study of Rapid Diagnosis of Spontaneous Bacterial Peritonitis in Cirrhotic Ascetic Patients by Using 16S Ribosomal RNA Gene PCR

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Last updated: 24 Dec 2024

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Abstract

Background: In cirrhosis, spontaneous bacterial peritonitis )SBP) is the most frequent infection . Rapid and precise identification of bacteria in clinical and scientific settings has been greatly aided by the 16S rRNA gene. Objective: Assessment of role of 16S rRNA gene in diagnosing SBP among cirrhotic ascitic cases. Patients and methods: our study was done on 60 adults cirrhotic ascitic patients, classified to 2 groups: Group I (SBP group ═ 38): involved all cases with ascitic fluid PMNL ≥ 250 cells/mm3, Group II (Non SBP group ═ 22): involved all cases with ascitic fluid PMNL < 250 cells/mm3. Ascitic fluid (AF) examination, bacterial culture and polymerase chain reaction (PCR) for detection of DNA were assessed among all cases. Results: Significantly greater levels of CRP were seen in the SBP group in comparison to the non-SBP group. Culture had sensitivity 53.3%, specificity 68.2%, PPV 70.5%, NPV 64.9 % and accuracy 60% for SBP diagnosis. PCR had sensitivity 94.7%, specificity 63.3%, PPV 81.8%, NPV 87.5% and accuracy 83.33% for SBP diagnosis Conclusion: Rapid and precise identification of AF infection is crucial for successful therapy, and polymerase chain reaction (PCR) detection of the 16s rRNA gene in ascitic fluid demonstrates this.  

DOI

10.21608/ejhm.2023.293425

Keywords

Spontaneous Bacterial Peritonitis, PCR, 16s ribosomal RNA gene

Authors

First Name

Hoda Abdeen

Last Name

Ibrahim

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Orcid

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First Name

Soha Esmat

Last Name

Khorshid

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Orcid

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First Name

Tahia Mohamed Ahmed

Last Name

Mohamed

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Orcid

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First Name

Dalia Hani Mohamed

Last Name

Sayed

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Affiliation

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Email

daliahani94@gmail.com

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Orcid

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First Name

Thoraya

Last Name

Hosny

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Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-04-02

Publish Date

2023-01-01

Page Start

3,723

Page End

3,729

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_293425.html

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https://ejhm.journals.ekb.eg/service?article_code=293425

Order

334

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

MainTitle

Study of Rapid Diagnosis of Spontaneous Bacterial Peritonitis in Cirrhotic Ascetic Patients by Using 16S Ribosomal RNA Gene PCR

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Article

Created At

24 Dec 2024