title: Spontaneous bacterial peritonitis in the Czech Republic: prevalence and aetiology.
abstract: The aim of the study was to determine the prevalence and detailed data concerning the incidence of spontaneous bacterial peritonitis in the Czech Republic. Ninety-nine patients with liver cirrhosis and ascites were examined. Spontaneous bacterial peritonitis was diagnosed in 35 patients (35.4%). It was revealed more often in patients with alcoholic aetiology of cirrhosis whose anamnesis involved sub-febrile or febrile states and the deterioration of ascites. Elevated serum leucocyte counts and increased levels of C-reactive protein can contribute to the diagnosis. A low level of total protein and albumin in ascites predisposes to the increase of this infection. The reduction of the platelet count in a set of patients with spontaneous bacterial peritonitis indicates the influence of portal hypertension in the aetiology of the disease.
authors.affiliation: Department of Internal Medicine and Gastroenterology, University Hospital, Brno, Czech Republic. jlata@fnbrno.cz
authors.forename: Jan
authors.initials: J
authors.lastname: Lata
authors.forename: Tomas
authors.initials: T
authors.lastname: Fejfar
authors.forename: Tomas
authors.initials: T
authors.lastname: Krechler
authors.forename: Tomas
authors.initials: T
authors.lastname: Musil
authors.forename: Libuse
authors.initials: L
authors.lastname: Husová
authors.forename: Michal
authors.initials: M
authors.lastname: Senkyrík
authors.forename: Jiri
authors.initials: J
authors.lastname: Dolina
authors.forename: Tomas
authors.initials: T
authors.lastname: Vanasek
mesh_terms: D000328:Adult; D000368:Aged; D018153:Czech Republic / Q000453:epidemiology; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000097:blood / Q000453:epidemiology* / Q000382:microbiology; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000097:blood / Q000453:epidemiology* / Q000382:microbiology; D010976:Platelet Count; D015995:Prevalence