Spontaneous bacterial peritonitis in the Czech Republic: prevalence and aetiology.
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.
Lata
Jan
J
Department of Internal Medicine and Gastroenterology, University Hospital, Brno, Czech Republic. jlata@fnbrno.cz
Fejfar
Tomas
T
Krechler
Tomas
T
Musil
Tomas
T
Husová
Libuse
L
Senkyrík
Michal
M
Dolina
Jiri
J
Vanasek
Tomas
T
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