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Spontaneous Bacterial Peritonitis: A Prospective Investigation in Predominantly Nonalcoholic Cirrhotic Patients

✍ Scribed by Giovambattista; Rosa Giovanna Simonetti; Antonio Craxí; Sonia Di Piazza; Caterina Spanó; Luigi Pagliaro

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
510 KB
Volume
3
Category
Article
ISSN
0270-9139

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✦ Synopsis

Two hundred and twenty-four consecutive inpatients with cirrhosis, mostly of nonalcoholic etiology, and ascites were prospectively investigated on admission for spontaneous bacterial peritonitis (SBP) by culture, smear, and polymorphonuclear (PMN) counts of ascitic fluid. Positive cultures were found in 54 patients. A possible intraabdominal source of infection was apparent in five of them, all with clinically overt peritonitis (secondary peritonitis). No intraabdominal source of infection was identified in the remaining 49. These patients were classified into the following groups: (a) SBP, 27 patients (positive cultures plus PMN counts 3 250 per mm3). Nine of them had no clinical features of peritonitis (silent SBP) in contrast to the other 18 (symptomatic SBP). (b) Bacteriascites (BA), 18 patients (positive culture with PMN counts less than 250 per mm3 in the absence of clinical peritonitis). Four patients were unclassified. Among 170 patients with negative

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