Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department
Yıl: 2019 Cilt: 26 Sayı: 4 Sayfa Aralığı: 584 - 587 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2018.12.318 İndeks Tarihi: 25-12-2019
Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department
Öz: Aim: In this study, we aimed to determine the epidemiological characteristics, microbiological and laboratory parameters of the patients diagnosed with spontaneous bacterial peritonitis (SBP) in the tertiary emergency department and to determine the in-hospital mortality rates.Material and Methods: A total of 294 patients who met these criteria and whose data were fully accessible from the hospital information management system included in the study. Demographic data such as age, gender, cirrhosis etiology, laboratory results and in-hospital mortality were recorded on the study form previously prepared. Child-Pugh and model for end stage liver disease (MELD) scores were calculated according to the formulas.Results: The mean age of the patients was 49 ± 17 years (mean ± SD) and 212 (72.1%) were male. When the patients were examined in terms of the etiology of cirrhosis; the most common cause was viral hepatitis with 53.4% (n: 157), followed by alcoholic hepatitis with 28.4% (n: 83). In terms of Child-Pugh grades, 45.2% (n: 132) of the patients were Child-Pugh grade C. In acid fluid analysis; there were 57 (19.3%) patients in SBP group, 45 (15.3%) patients in the culture negative neutrocytic ascites group and 192 (65.4%) patients in monomicrobial bacterascites group.Conclusion: Since the first admission address of these patients are mostly ED, especially emergency physicians should always keep this diagnosis in mind for such patients.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. European Association for the Study of the Liver. EASL clinical practice guidelines on the management of ascites, spontaneous bacterial peritonitis, and hepatorenal syndrome in cirrhosis. J Hepatol 2010;53:397-417.
- 2. Guarner C, Soriano G. Spontaneous bacterial peritonitis. Semin Liver Dis 1997;17:203-17.
- 3. Jalan R, Fernandez J, Wiest R, et al. Bacterial infections in cirrhosis: a position statement based on the EASL Special Conference 2013. J Hepatol 2014;60:1310-24.
- 4. Wiest R, Krag A, Gerbes A. Spontaneous bacterial peritonitis: recent guidelines and beyond. Gut 2012;61:297-310.
- 5. Garcia–Tsao G. Current management of the complications of cirrhosis and portal hypertension: variceal hemorrhage, ascites, and spontaneous bacterial peritonitis. Gastroenterology 2001;120:726-48.
- 6. Koulaouzidis A, Bhat S, Saeed AA. Spontaneous bacterial peritonitis. World J Gastroenterol 2009;15:1042-9.
- 7. Cirera I, Bauer TM, Navasa M, et al. Bacterial translocation of enteric organisms in patients with cirrhosis. J Hepatol 2001;34:32-7.
- 8. Volk ML, Marrero JA. Advances in critical care hepatology. Minerva Anestesiol 2006;72:269-81.
- 9. Long B, Koyfman A. The emergency medicine evaluation and management of the patient with cirrhosis. Am J Emerg Med. 2018;36:689-98.
- 10. Karvellas CJ, Abraldes JG, Arabi YM, et al. Cooperative Antimicro¬bial Therapy of Septic Shock (CATSS) Database Research Group. Appropriate and timely antimicrobial therapy in cirrhotic patients with spontaneous bacterial peritonitis-associated septic shock: a retrospective cohort study. Aliment Pharmacol Ther 2015;41:747-57.
- 11. Kamath PS, Wiesner RH, Malinchoc M, et al. A model to predict survival in patients with end-stage liver disease. Hepatology 2001;33:464-70.
- 12. Reginato TJ, Oliveira MJ, Moreira LC, et al. Characteristics of ascitic fluid from patients with suspected spontaneous bacterial peritonitis in emergency units at a tertiary hospital. Sao Paulo Med J. 2011;129:315-9.
- 13. Karakütük N. The Etiological and Demographic Characteristics of Cirrhotic Patients in Our Region. MD. Adnan Menderes University, Aydın, 2015.
- 14. Aminiahidashti H, Hosseininejad SM, Montazer H, et al. Diagnostic accuracy of ascites fluid gross appearance in detection of spontaneous bacterial peritonitis. Emerg (Tehran) 2014;2:138-40.
- 15. Lee JM, Han KH, Ahn SH. Ascites and spontaneous bacterial peritonitis: an Asian perspective. J Gastroenterol Hepatol 2009;24:1494-503.
- 16. Chinnock B, Afarian H, Minnigan H, et al. Physician clinical impression does not rule out spontaneous bacterial peritonitis in patients undergoing emergency department paracentesis. Ann Emerg Med 2008;52:268-73.
- 17. Thuluvath PJ, Morss S, Thompson R. Spontaneous bacterial peritonitis--in-hospital mortality, predictors of survival, and health care costs from 1988 to 1998. Am J Gastroenterol 2001;96:1232-6.
- 18. Liou IW. Management of end-stage liver disease. Med Clin North Am. 2014;98:119-52.
- 19. Rimola A, Garcia-Tsao G, Navasa M, et al. Diagnosis, treatment and prophylaxis of spontaneous bacterial peritonitis: a consensus document. International Ascites Club. J Hepatol 2000;32:142-53.
- 20. Van Erpecum KJ. Ascites and spontaneous bacterial peritonitis in patients with liver cirrhosis. Scand J Gastroenterol Suppl 2006;243:79-84.
- 21. Wong F, Bernardi M, Balk R, et al. Sepsis in cirrhosis: report on the 7th meeting of the International Ascites Club. Gut 2005;54:718-25.
- 22. Felisart J, Rimola A, Arroyo V, et al. Cefotaxime is more effective than is ampicillin-tobramycin in cirrhotics with severe infections. Hepatology 1985;5:457-62.
| APA | SALT Ö, Sayhan M (2019). Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. , 584 - 587. 10.5455/annalsmedres.2018.12.318 |
| Chicago | SALT ÖMER,Sayhan Mustafa Burak Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. (2019): 584 - 587. 10.5455/annalsmedres.2018.12.318 |
| MLA | SALT ÖMER,Sayhan Mustafa Burak Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. , 2019, ss.584 - 587. 10.5455/annalsmedres.2018.12.318 |
| AMA | SALT Ö,Sayhan M Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. . 2019; 584 - 587. 10.5455/annalsmedres.2018.12.318 |
| Vancouver | SALT Ö,Sayhan M Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. . 2019; 584 - 587. 10.5455/annalsmedres.2018.12.318 |
| IEEE | SALT Ö,Sayhan M "Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department." , ss.584 - 587, 2019. 10.5455/annalsmedres.2018.12.318 |
| ISNAD | SALT, ÖMER - Sayhan, Mustafa Burak. "Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department". (2019), 584-587. https://doi.org/10.5455/annalsmedres.2018.12.318 |
| APA | SALT Ö, Sayhan M (2019). Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. Annals of Medical Research, 26(4), 584 - 587. 10.5455/annalsmedres.2018.12.318 |
| Chicago | SALT ÖMER,Sayhan Mustafa Burak Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. Annals of Medical Research 26, no.4 (2019): 584 - 587. 10.5455/annalsmedres.2018.12.318 |
| MLA | SALT ÖMER,Sayhan Mustafa Burak Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. Annals of Medical Research, vol.26, no.4, 2019, ss.584 - 587. 10.5455/annalsmedres.2018.12.318 |
| AMA | SALT Ö,Sayhan M Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. Annals of Medical Research. 2019; 26(4): 584 - 587. 10.5455/annalsmedres.2018.12.318 |
| Vancouver | SALT Ö,Sayhan M Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department. Annals of Medical Research. 2019; 26(4): 584 - 587. 10.5455/annalsmedres.2018.12.318 |
| IEEE | SALT Ö,Sayhan M "Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department." Annals of Medical Research, 26, ss.584 - 587, 2019. 10.5455/annalsmedres.2018.12.318 |
| ISNAD | SALT, ÖMER - Sayhan, Mustafa Burak. "Analysis of patients with suspected diagnosis of spontaneous bacterial peritonitis in the emergency department". Annals of Medical Research 26/4 (2019), 584-587. https://doi.org/10.5455/annalsmedres.2018.12.318 |
