Volume 8 Issue 10 (October, 2020)

Original Articles

Associated Risk Factors and the Laboratory Parameters of Liver Cirrhosis after Spontaneous Bacterial Peritonitis (SBP)
Dr. Rishabh Sehgal, Dr. Inder pal Singh, Dr. Jyotisterna Mittal

Aim: To determine the associated risk factors and the laboratory parameters in spontaneous bacterial peritonitis (SBP).. Materials and methods-All patients of cirrhosis with ascites underwent diagnostic paracentesis within 24 h of admission or whenever peritonitis is suspected. SBP was diagnosed in the presence of a polymorphonuclear (PMN) cell count ≥ 250 cells/mm3 in peritoneal fluid. SBP was considered as community-acquired when diagnosed at admission or within 48 h of admission. Results- All the patients included in our study presented clinically with fever (100%) followed by pain abdomen (95%), abdomen distention (61.66%), encephalopathy (38.33%), reduced urine output (33.33%), jaundice (30%), Haemetemesis (10%) and malena (6.66%).The mean value of PMN cell count in ascetic fluid was 394.63 cells/mm3, total bilirubin was 4.47 mg/dL, Serum Creatinine was 1.53mg/dL, Serum albumin was 2.47 g/dL, INR was 1.85 and Serum sodium was 132.83 mEq/L. The mean values of MELD and iMELD score were 20.63 and 46.28 respectively. Conclusion- total bilirubin, serum creatinine, serum sodium, INR, MELD score and iMELD score were found as prognostic factors for prediction of mortality in patients with SBP. Keywords- Spontaneous Bacterial Peritonitis, Bacterascites, Serum Creatinine, Haemetemesis, Polymorphonuclear Cells.

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