Your browser doesn't support javascript.
loading
Predictive factors that influence the survival rates in liver cirrhosis patients with spontaneous bacterial peritonitis
Clinical and Molecular Hepatology ; : 131-139, 2013.
Article in English | WPRIM | ID: wpr-25408
ABSTRACT
BACKGROUND/

AIMS:

Spontaneous bacterial peritonitis (SBP) has been known to greatly influence the survival rate of patients with liver cirrhosis. However, the factors that affect the survival rate in patients with SBP need to be clarified.

METHODS:

This study enrolled 95 liver cirrhosis patients diagnosed with SBP. The laboratory findings of their serum and ascitic fluid were examined and the characteristics of the isolated microorganisms in their peritoneal fluid were analyzed.

RESULTS:

The proportion of patients with culture-positive SBP was 41.1%, and 47 microorganisms were isolated from the ascitic fluid. The proportions of cultured bacteria that were Gram negative and Gram positive were 57.4% and 40.4%, respectively. The proportions of Escherichia coli, Klebsiella species, and Streptococcus species were 25.5%, 19.1%, and 19.1%, respectively. Enterococcus species represented 12.8% of the microorganisms cultured. The overall survival rates at 6, 12, and 24 months were 44.5%, 37.4%, and 32.2%, respectively. There was no relationship between the bacterial factors and the survival rate in SBP. Multivariate analysis revealed that the presence of hepatocellular carcinoma (HCC; P=0.001), higher serum bilirubin levels (> or =3 mg/dL, P=0.002), a prolonged serum prothrombin time (i.e., international normalized ratio >2.3, P1.3 mg/dL, P<0.001), and lower glucose levels in the ascitic fluid (<50 mg/dL, P<0.001) were independent predictive factors of overall survival rate.

CONCLUSIONS:

HCC, higher serum bilirubin levels, a prolonged serum prothrombin time, renal dysfunction, and lower ascitic glucose levels are associated with higher mortality rates in cirrhotic patients with SBP.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Peritonitis / Prognosis / Prothrombin Time / Bilirubin / Ascitic Fluid / Odds Ratio / Multivariate Analysis / Survival Rate / Carcinoma, Hepatocellular / Creatinine Type of study: Etiology study / Prognostic study Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Clinical and Molecular Hepatology Year: 2013 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Peritonitis / Prognosis / Prothrombin Time / Bilirubin / Ascitic Fluid / Odds Ratio / Multivariate Analysis / Survival Rate / Carcinoma, Hepatocellular / Creatinine Type of study: Etiology study / Prognostic study Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Clinical and Molecular Hepatology Year: 2013 Type: Article