[Bacteremia in the patient with liver cirrhosis. Prospective study of 61 episodes].
We prospectively evaluated 61 episodes of bacteremia in 54 patients with hepatic cirrhosis, representing 9% of the overall number of bacteremic episodes in adult patients seen in our center during the study period. Spontaneous bacteremia represented 46% of all episodes (virtually always in patients with ascites), followed by the urinary origin (30%). Gram negative organisms were isolated in 71% of episodes. 43% of these were hospital-acquired 25% of patients had spontaneous peritonitis. Among other complications of bacteremia there were shock (28%), renal failure (24%), and disseminated intravascular coagulation (6%). The mortality rate due to sepsis was 28%, that due to complications of cirrhosis by itself was 20%, and that of nonrelated diseases was 8%. Shock and renal failure secondary to bacteremia were independent predictors of a poor prognosis.
Aloy Duch
A
A
Servicio de Medicina Interna, Hospital de Terrassa.
Espejo Arenas
E
E
Mauri Pont
M
M
García Restoy
E
E
Simó Sanahuja
M
M
Bella Cueto
F
F
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D000368:Aged; D003428:Cross Infection / Q000453:epidemiology; D005260:Female; D006090:Gram-Negative Bacteria / Q000302:isolation & purification; D006094:Gram-Positive Bacteria / Q000302:isolation & purification; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000453:epidemiology; D011446:Prospective Studies; D012307:Risk Factors; D018805:Sepsis / Q000150:complications / Q000453:epidemiology* / Q000382:microbiology / Q000401:mortality; D012772:Shock, Septic / Q000209:etiology / Q000401:mortality
Bacteriemia en el paciente con cirrosis hepática. Estudio prospectivo de 61 episodios.