Euroasian Journal of Hepato-Gastroenterology

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VOLUME 5 , ISSUE 2 ( July-December, 2015 ) > List of Articles

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Variant of Ascitic Fluid Bacterial Infections in Patients of Liver Cirrhosis

Jahangir Alam Sarker, Md Shahinul Alam, Mobin Khan, Mohammad Shahed Ashraf, Faiz Ahmad Khondaker

Citation Information : Alam Sarker J, Alam MS, Khan M, Shahed Ashraf M, Ahmad Khondaker F. Variant of Ascitic Fluid Bacterial Infections in Patients of Liver Cirrhosis. Euroasian J Hepatogastroenterol 2015; 5 (2):131-133.

DOI: 10.5005/jp-journals-10018-1152

License: CC BY-NC 4.0

Published Online: 01-07-2015


Abstract

Background and aims: Bacterial infections of ascitic fluid of cirrhotic patients are related to high morbidity and mortality. The aim of the study was to determine the variants of ascitic fluid bacterial infection in patients with advanced cirrhosis (Child Pugh Class C). Materials and methods: We analyzed 35 consecutive cirrhotic patients of Child Pugh Class C with ascites attending the outpatient department (OPD) of Hepatology Department, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2008 to December 2009. Clinical and laboratory parameters of these patients were recorded. Results: Among the total 35 patients, eight patients were symptomatic and 27 patients were asymptomatic. Out of eight symptomatic patients, two had ascitic fluid bacterial infection (25%), whereas six of 27 asymptomatic patients (22.2%) had ascitic fluid bacterial infection. Conclusion: Bacterial infection should always be considered in patients with ascites with liver cirrhosis irrespective of their symptoms.


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  1. Runyon BA. Ascites in liver disease. In: WS Haubrich, F Schaffner and JE, Berk, editors. 1995
  2. Compensated cirrhosis: natural history and prognostic factors. Hepatology 1987;7(1):122-128. Variant of Ascitic Fluid Bacterial Infections in Patients of Liver Cirrhosis Euroasian Journal of Hepato-Gastroenterology, July-December 2015;5(2):131-133 133 EJOHG 3. D’Amico G, Morabito A, Pagliaro L, Marubini E. Survival and prognostic indicators in compensated and decompensated cirrhosis. Dig Dis Sci 1986;31(5):468-475
  3. Current management of the complications of cirrhosis and portal hypertension: variceal haemorrhage, ascites, and spontaneous bacterial peritonitis. Gastroenterol 2001;120(3):726-748
  4. Bacterial infection inpatients with advanced cirrhosis: a multicentre prospective study. Dig Liver Dis 2001;33(1):41-48
  5. Culture negative neutrocytic ascites; a variant of spontaneous bacterial peritonitis. Hepatol 1984; 4(6):1209-1211
  6. Spontaneous bacterial peritonitis in asymptomatic outpatients with cirrhotic ascites. Hepatol 2003;37(4):897-901
  7. Outcomes in culture positive and culture negative ascitic fluid infection in patients with viral cirrhosis: cohort study. BMC Gastroent 2008;18(8):59.
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