SPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY

Objective: To determine the frequency of spontaneous bacterial peritonitis in asymptomatic cirrhotic patients with ascites. Study Design: Cross-sectional study. Place and Duration of Study: Medical outpatient department, Medical unit III, Ward-7, JPMC, Karachi, from Feb 2018 to Aug 2018. Me...

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Autores principales:	Asif Aziz, Sarwat Ashraf, Mir Tahir Hussain Talpur, Nasrullah Aamer, Sagheer Ahmed Solangi, Khalil Ullah Shabir, Moiz Ahmed, Kiran Abbas
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	ascites cirrhosis spontaneous bacterial peritonitis Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/55beb51c50b94921885b397707b83a06
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spelling	oai:doaj.org-article:55beb51c50b94921885b397707b83a062021-12-02T17:20:37ZSPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY0030-96482411-8842https://doaj.org/article/55beb51c50b94921885b397707b83a062020-10-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5574https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the frequency of spontaneous bacterial peritonitis in asymptomatic cirrhotic patients with ascites. Study Design: Cross-sectional study. Place and Duration of Study: Medical outpatient department, Medical unit III, Ward-7, JPMC, Karachi, from Feb 2018 to Aug 2018. Methodology: All patients between the age of 18 to 60 years and presenting with confirmed ascites due to liver cirrhosis were included. Those with ascites due to other causes were excluded from the study. After obtaining consent, diagnostic ascitic paracentesis was done and sent to the laboratory for evaluation. Results: A total of 130 patients were enrolled in the study. The mean age of ascites patients was 46.94 ± 7.67 years. There were 73 (56.2%) male while 57 (43.8%) were female. Spontaneous bacterial peritonitis was detected among 38 (29.2%) patients. Among these, 15 patients (11.5%) had positive culture of spontaneous bacterial peritonitis and detected organisms like E.coli (5.4%), Klebsiella (3.1%), Pneumococcus (2.3%) & Streptococcus viridians (0.8%). Frequency of spontaneous bacterial peritonitis increased with increasing age. Male gender was more affected of spontaneous bacterial peritonitis. Lower the weight increasing duration of ascites were associated with higher incidence of spontaneous bacterial peritonitis (p-value = 0.001 and 0.311 respectively). Conclusion: Spontaneous bacterial peritonitis was detected among one-third of the patients suffering from cirrhosis, making it a grave complication that requires prompt treatment.Asif AzizSarwat AshrafMir Tahir Hussain TalpurNasrullah AamerSagheer Ahmed SolangiKhalil Ullah ShabirMoiz AhmedKiran AbbasArmy Medical College Rawalpindiarticleascitescirrhosisspontaneous bacterial peritonitisMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 5, Pp 1408-1412 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	ascites cirrhosis spontaneous bacterial peritonitis Medicine R Medicine (General) R5-920
spellingShingle	ascites cirrhosis spontaneous bacterial peritonitis Medicine R Medicine (General) R5-920 Asif Aziz Sarwat Ashraf Mir Tahir Hussain Talpur Nasrullah Aamer Sagheer Ahmed Solangi Khalil Ullah Shabir Moiz Ahmed Kiran Abbas SPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY
description	Objective: To determine the frequency of spontaneous bacterial peritonitis in asymptomatic cirrhotic patients with ascites. Study Design: Cross-sectional study. Place and Duration of Study: Medical outpatient department, Medical unit III, Ward-7, JPMC, Karachi, from Feb 2018 to Aug 2018. Methodology: All patients between the age of 18 to 60 years and presenting with confirmed ascites due to liver cirrhosis were included. Those with ascites due to other causes were excluded from the study. After obtaining consent, diagnostic ascitic paracentesis was done and sent to the laboratory for evaluation. Results: A total of 130 patients were enrolled in the study. The mean age of ascites patients was 46.94 ± 7.67 years. There were 73 (56.2%) male while 57 (43.8%) were female. Spontaneous bacterial peritonitis was detected among 38 (29.2%) patients. Among these, 15 patients (11.5%) had positive culture of spontaneous bacterial peritonitis and detected organisms like E.coli (5.4%), Klebsiella (3.1%), Pneumococcus (2.3%) & Streptococcus viridians (0.8%). Frequency of spontaneous bacterial peritonitis increased with increasing age. Male gender was more affected of spontaneous bacterial peritonitis. Lower the weight increasing duration of ascites were associated with higher incidence of spontaneous bacterial peritonitis (p-value = 0.001 and 0.311 respectively). Conclusion: Spontaneous bacterial peritonitis was detected among one-third of the patients suffering from cirrhosis, making it a grave complication that requires prompt treatment.
format	article
author	Asif Aziz Sarwat Ashraf Mir Tahir Hussain Talpur Nasrullah Aamer Sagheer Ahmed Solangi Khalil Ullah Shabir Moiz Ahmed Kiran Abbas
author_facet	Asif Aziz Sarwat Ashraf Mir Tahir Hussain Talpur Nasrullah Aamer Sagheer Ahmed Solangi Khalil Ullah Shabir Moiz Ahmed Kiran Abbas
author_sort	Asif Aziz
title	SPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY
title_short	SPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY
title_full	SPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY
title_fullStr	SPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY
title_full_unstemmed	SPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY
title_sort	spontaneous bacterial peritonitis in asymptomatic cirrhotic patients with ascites in a tertiary care hospital: a cross-sectional study
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/55beb51c50b94921885b397707b83a06
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SPONTANEOUS BACTERIAL PERITONITIS IN ASYMPTOMATIC CIRRHOTIC PATIENTS WITH ASCITES IN A TERTIARY CARE HOSPITAL: A CROSS-SECTIONAL STUDY

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