JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v3i3.2243 jpsim.v3i3.2243 Original Research Frequency of Asymptomatic Spontaneous Bacterial Peritonitis in Decompensated Cirrhotic Patients with Ascites Azhar Shahroz shahrozazhar538@gmail.com * Safdar Sidra Atiq Zainab Ishfaq Faisal Mumtaz Sami Ullah Abaidullah Sajid King Edward Medical University, Mayo Hospital, Lahore Institute of Nuclear Medicine and Oncology (INMOL), Lahore Pakistan Kidney and Liver Institute &Research Center, Lahore *Correspondence: Shahroz Azhar (shahrozazhar538@gmail.com) 12 09 2022 2022 3 3 220 224 31 03 2022 16 07 2022 Copyright © 2022 The Author(s) 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

To determine the frequency of asymptomatic spontaneous bacterial peritonitis in decompensated cirrhotic patients with ascites.

 Methodology

This was a Cross sectional study conducted at North Medical Ward, Mayo Hospital, Lahore for Six months i.e. August 2019 to January 2020. Total 156 patients fulfilling the selection criteria were enrolled in study from OPD. Patients were advised to present in next morning with overnight fast. Then ascitic fluid sample of 10ml was taken via paracentesis. All samples were sent to the laboratory of the hospital for assessment of spontaneous bacterial peritonitis. Reports were assessed and if absolute neutrophilic count >250/mm3, SAAG >1.1 and positive fluid culture, then spontaneous bacterial peritonitis was labeled.

 Results

Mean age of patients was 54.121±10.27 years. Among patients 116(74.4%) were male and 40(25.6%) were female. Mean duration of cirrhosis and ascites was 56.13±36.90 and 10.72±12.10 months. Asymptomatic spontaneous bacterial peritonitis was diagnosed in 64(41%) patients. Age of patients (p-value=0.051), Child Pugh class (p-value=0.001) and duration of ascites (p-value=0.000) showed significant association for frequency of Asymptomatic spontaneous bacterial peritonitis.

 Conclusion

There is higher frequency of asymptomatic spontaneous bacterial peritonitis in decompensated cirrhotic patients with ascites.So all cirrhotic patients with ascites even asymptomatic must undergo abdominal paracentesis for ascitic fluid analysis and/or cultures diagnostic for SBP.

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