Spontaneous Bacterial Empyema in Cirrhotic patients with Hepatic hydrothorax.

  • Ehsan Rahim Memon Isra University Hospital.
  • Prem Kumar Maheshwari Isra University Hospital.
  • Shabana Lakho Isra University Hospital.
  • Huma Mehmood LUMHS.
Keywords: Cirrhosis, Hepatic Hydrothorax, Spontaneous Bacterial Empyema

Abstract

Objectives: To determine the frequency of spontaneous bacterial empyema in cirrhotic patients with hepatic hydrothorax. Study Design: Descriptive cross sectional study. Setting: Conducted in gastroenterology unit at Isra University Hospital, Hyderabad. Periods: One year from April 2016 to March 2017. Material & Methods: Sample of 174 patients of Hepatic Hydrothorax was taken. Patients were of both gender and age ≥ 18 years, having diagnosed cirrhosis since last 5 years and currently having child class B & C severity were included. Hepatic hydrothorax was confirmed on ultrasound chest. After aseptic measures 50ml of pleural fluid was aspirated and sent to Isra University Hospital laboratory following the ultrasound guidelines. Spontaneous bacterial empyema was assessed as “polymorph nuclear cell count” more than 500 cells/mm3 or +ve culture with PMN cell count more than 250 cells/mm3 without parapneumonic effusion. All the data was recorded in the proforma. Results: The mean ± SD age of patients was 53.52 ± 5.52 years. Males were 60.92% while 39.08% were females. The frequency of spontaneous bacterial empyema was about 14.9%. Frequency of spontaneous bacterial empyema was little more in male gender than females (p value = 0.391), while it was significantly increased with increasing age as most common in age group of 61-65 years (p-value = 0.017). Conclusion: It was concluded that spontaneous bacterial empyema in cirrhosis patients was 14.9%.

Author Biographies

Ehsan Rahim Memon, Isra University Hospital.

MBBS, FCPS

Senior Registrar

Department of Gastroenterology

 

Prem Kumar Maheshwari, Isra University Hospital.

MBBS, FCPS

Assistant Professor

Department of Gastroenterology

 

Shabana Lakho, Isra University Hospital.

MBBS, FCPS

Senior Registrar

Department of Gastroenterology

 

Huma Mehmood, LUMHS.

MBB, FCPS

 Department of Pediatric

 

Published
2020-01-10