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374383

Ascitic Fluid Calprotectin as a Diagnostic Marker of Spontaneous Bacterial Peritonitis in Patients with Liver Cirrhosis

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Last updated: 24 Dec 2024

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Abstract

Background: Spontaneous bacterial peritonitis (SBP), a life-threatening infection in patients with advanced liver cirrhosis, is traditionally diagnosed by a high white blood cell count (polymorphonuclear leukocyte count (PMN) > 250/μL) in ascitic fluid. However, this method can be slow. Objective: This study explores ascitic fluid calprotectin as a potentially faster and more accurate diagnostic tool.Patients and Methods: Ninety patients with decompensated liver cirrhosis (45 with confirmed SBP and 45 without SBP) were included. Ascitic fluid calprotectin levels were measured in all participants. Results: SBP patients had significantly higher calprotectin levels than the non-SBP group. Additionally, calprotectin levels correlated with white blood cell counts and other inflammatory markers in the ascitic fluid. Using a cut-off value of 433.7 ng/ml, calprotectin achieved a sensitivity of 73.3% and a specificity of 85.1% for detecting SBP. Conclusion: Ascitic fluid calprotectin shows promise as a reliable and potentially faster method for diagnosing SBP in patients with cirrhosis. It could serve as a valuable addition to existing diagnostic tools.  

DOI

10.21608/ejhm.2024.374383

Keywords

Spontaneous Bacterial Peritonitis, Calprotectin, ascites, Liver cirrhosis

Volume

96

Article Issue

1

Related Issue

48863

Issue Date

2024-07-01

Receive Date

2024-08-17

Publish Date

2024-07-01

Page Start

2,843

Page End

2,850

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_374383.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=374383

Order

77

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

Ascitic Fluid Calprotectin as a Diagnostic Marker of Spontaneous Bacterial Peritonitis in Patients with Liver Cirrhosis

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Type

Article

Created At

24 Dec 2024