Abstract:
:Spontaneous bacterial peritonitis (SBP) is an ascitic fluid infection as a complication of end stage liver disease. The outcome is related to the severity of hepatorenal function, gastrointestinal bleeding, and many others; however it is not well known whether the infection acquisition sites have an effect on the prognosis of SBP. In order to identify the prognostic significance of the acquisition sites, we studied 106 patients who were diagnosed as culture positive SBP between October 1998 and August 2003. Thirty-two episodes were nosocomial and 74 were community acquired. Gram-negative bacilli such as Escherichia coli were dominant in both of the nosocomial and community-acquired SBPs. Despite significantly higher resistance to cefotaxime in nosocomial isolates compared to community-acquired isolates (77.8% vs. 13.6%, p=0.001), no difference was found regarding short or long term prognosis. Infection acquisition sites were not related to short or long term prognosis either. Shock, gastrointestinal bleeding and renal dysfunction were related to short term prognosis. Only Child-Pugh class C was identified as an independent prognostic factor of long-term survival.
journal_name
J Korean Med Scijournal_title
Journal of Korean medical scienceauthors
Song JY,Jung SJ,Park CW,Sohn JW,Kim WJ,Kim MJ,Cheong HJdoi
10.3346/jkms.2006.21.4.666subject
Has Abstractpub_date
2006-08-01 00:00:00pages
666-71issue
4eissn
1011-8934issn
1598-6357pii
200608666journal_volume
21pub_type
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