Original Research

Frequency of Asymptomatic Spontaneous Bacterial Peritonitis in Decompensated Cirrhotic Patients with Ascites

Shahroz Azhar1
King Edward Medical University, Mayo Hospital, Lahore
Sidra Safdar2
Institute of Nuclear Medicine and Oncology (INMOL), Lahore
Zainab Atiq3
Pakistan Kidney and Liver Institute &Research Center, Lahore
Faisal Ishfaq1
King Edward Medical University, Mayo Hospital, Lahore
Sami Ullah Mumtaz1
King Edward Medical University, Mayo Hospital, Lahore
Sajid Abaidullah1
King Edward Medical University, Mayo Hospital, Lahore

✉ Correspondence: Shahroz Azhar Email: shahrozazhar538@gmail.com

DOI https://doi.org/10.70302/jpsim.v3i3.2243
Volume: 3, Issue 3 Pages: 220–224 Published: 12 Sep 2022
Received: 31 Mar 2022 Accepted: 16 Jul 2022 Published Online: 12 Sep 2022

Abstract

Objective

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

Methods

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.

Keywords
Asymptomatic Spontaneous Bacterial Peritonitis Decompensated Cirrhotic Ascites.

How to Cite This Article

Azhar S, Safdar S, Atiq Z, Ishfaq F, Mumtaz SU, Abaidullah S. Frequency of Asymptomatic Spontaneous Bacterial Peritonitis in Decompensated Cirrhotic Patients with Ascites. J Pak Soc Intern Med. 2022;3(3):220–224. doi:10.70302/jpsim.v3i3.2243

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

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CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2022 Journal of Pakistan Society of Internal Medicine.
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