[Spontaneous bacterial peritonitis in hepatic cirrhosis with ascites: incidence, bacteriology and mortality in Uruguay].
Spontaneous bacterial peritonitis (SBP) is a frequent and severe complication of cirrhotic patients with ascites. In order to analyze the incidence, bacteriology and in-hospital mortality, we studied 64 consecutive patients with cirrhosis and ascites (47 males, 17 females average age 59 years) hospitalized in a general adults 3rd level hospital (Pasteur hospital, Montevideo, Uruguay), between September 1998 and May 2000. The diagnostic criteria was more than 250 polymorphonuclear cells/cu.mm. in ascitic fluid and/or a positive culture. We found 17 SBP in 17 patients (10 males 24-81 years) which means an incidence of 26.56%. 15 alcoholic cirrhosis and 2 autoimmune disease. 12% (2/17) were asymptomatic; 8/17 were SBP culture positive (5 E. Coli, 2 St. Pneumoniae, 1 Klebsiella sp.), and 9 were culture negative. The mortality rate associated with SBP was 47% (8/17), greater than the cirrhotic group without SBP (12.7% p < 0.01).
Rubinstein
P
P
Departamento de Medicina, Hospital Pasteur, Montevideo, Uruguay. agunin69@montevideo.com.uy
Morales
M
M
Pandiani
A
A
Bagattini
J C
JC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001201:Ascites / Q000150:complications* / Q000382:microbiology / Q000401:mortality*; D001424:Bacterial Infections / Q000382:microbiology / Q000401:mortality; D005260:Female; D006801:Humans; D015994:Incidence; D008103:Liver Cirrhosis / Q000150:complications*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000382:microbiology* / Q000401:mortality; D011446:Prospective Studies; D014583:Uruguay / Q000453:epidemiology
Peritonitis bacteriana espontánea en cirrosis hepática con ascitis: incidencia, bacteriología y mortalidad en Uruguay.