378405

Assessment of Serum-Ascites Vitamin D Gradient (SADG) in Spontaneous Bacterial Peritonitis

Article

Last updated: 13 Jan 2025

Subjects

-

Tags

-

Abstract

Aim and background: Spontaneous bacterial peritonitis (SBP) is an infection of the ascetic fluid that occurs in the setting of decompensated liver cirrhosis. Ascetic fluid PMN count 250 per cubic mm or above is the gold standard for it's diagnosis. The aim of this work was to assess the serum ascetic vitamin D gradient (SADG) in the setting of SBP. Methods: This cross-sectional case control analytic study was carried out on 50 patients diagnosed with portal hypertensive ascites who was categorized into two equal groups: Group I: cirrhotic ascetic patients with SBP and Group II: cirrhotic ascetic patients without SBP. Results: There was a significant positive correlation between SADG and ascetic PNM count and serum vitamin D in group I and between SADG and ascetic and serum vitamin D in group II. SADG can be used to discriminate between group I and group II at a cutoff level of < 0.55, with 72% sensitivity, 76% specificity, 75% PPV and 73.1% NPV. Ascetic fluid glucose and lactate dehydrogenase was statistically significantly higher in group II when compared with group I (P

DOI

10.21608/bmfj.2024.295275.2096

Keywords

Serum-Ascites Vitamin D Gradient, Spontaneous Bacterial Peritonitis, Liver cirrhosis

Authors

First Name

Mohammed

Last Name

El Shewi

MiddleName

El Sayed

Affiliation

Professor of Gastroenterology, Hepatology and Infectious Disease - Faculty of Medicine - Benha University

Email

mo.elshewi@yahoo.com

City

Benha

Orcid

-

First Name

Sayed

Last Name

Korani

MiddleName

-

Affiliation

M.B.B, Ch cairo university

Email

doctorsayed@gmail.com

City

-

Orcid

-

First Name

Omar

Last Name

Sabry

MiddleName

-

Affiliation

Haematology department, Theodor Bilharz Research Institute (TBRI), giza, Egypt

Email

o.sabry@tbri.gov.eg

City

-

Orcid

-

First Name

Sabry

Last Name

Abdou Awad

MiddleName

Anis

Affiliation

Professor of Gastroenterology, Hepatology and Infectious Disease - Faculty of Medicine - Benha University

Email

sabry.awad@fmed.bu.edu.eg

City

-

Orcid

-

Volume

42

Article Issue

1

Related Issue

52766

Issue Date

2025-01-01

Receive Date

2024-06-04

Publish Date

2025-01-01

Page Start

56

Page End

67

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_378405.html

Detail API

http://journals.ekb.eg?_action=service&article_code=378405

Order

6

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

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

MainTitle

Assessment of Serum-Ascites Vitamin D Gradient (SADG) in Spontaneous Bacterial Peritonitis

Details

Type

Article

Created At

13 Jan 2025