Analysis of ascitic fluid in cirrhosis of liver for spontaneous bacterial peritonitis
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 10
Abstract
Introduction: Spontaneous bacterial peritonitis (SBP) is an infection of ascitic fluid that occurs in the absence of local source of infection. Different variants of Spontaneous Bacterial Peritonitis depending on the culture positivity and on the Polymorphonuclear leucocyte response of ascitic fluid have been described. In India the prevalence of Spontaneous Bacterial Peritonitis in the patients with cirrohsis of liver with ascites at the time of hospital admissions has been reported to be 10% to 27%. Aims and Objectives: To study the prevalence, incidence and clinical presentation of Spontaneous Bacterial Peritonitis in patients with Cirrhosis of liver. Material and Methods: The patients who were admitted at GMC Aurangabad from June 2004 to December 2006, having cirrhosis of liver with ascites. Total number of patient were considered for evaluation in the department of medicine. The study has been carried out for Two year. Detailed history and a complete physical examination were performed. Abdominal paracentesis in all patients was performed. All hematological and biochemical blood test performed. Detail examination of asictic fluid done and culture of the same. Summary and Conclusion: The present study was carried out in 60 cases. There was male preponderance in our study. Maximum cases belong to 41 to 60 years. we observed in our study leucocytosis, increased total serum bilirubin and decreased total albumin levels which is statistically significant. Seven cases found to have ascetic fluid culture positive, while two had negative culture. E. coli is the most common micro organism.
Authors and Affiliations
Rahul B Jawale, Pravin N Soni
Keywords
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