The bacterial spectrum of spontaneous bacterial peritonitis in patients with cirrhosis of liver.

  • Ahmad Nawaz Babar Madina Teaching Hospital, Faisalabad.
  • Shahid Rasool Madina Teaching Hospital, Faisalabad.
  • Salman Azhar Madina Teaching Hospital, Faisalabad.
  • Javeria Komal Madina Teaching Hospital, Faisalabad.
  • Sofia Hanif Madina Teaching Hospital, Faisalabad.
Keywords: Ascites, Bacterial Spectrum, Cirrhosis, Spontaneous Bacterial Peritonitis (SBP)

Abstract

Objectives: To identify the bacterial spectrum of SBP in patients with cirrhosis of liver. Study Design: Descriptive Cross-sectional study. Setting: Department of Gastroenterology and Hepatology, Madina Teaching Hospital, Faisalabad. Period: 1st November, 2018 – 30th June, 2019. Material & Methods: Two hundred and fifty cirrhotic patients having ascites and clinical symptoms and signs of SBP, consecutively admitted in the ward or presented to OPD were included in the study. Results: A total of 250 patients included in this study. SBP was diagnosed according to the predetermined criteria in 140 patients.  The culture-negative ascites was found in 77 (55%) and culture-positive ascites was found in 63 (45%) patients. The most common organism was E.Coli 28 (47.45%) followed by Enterococcus 10 (16.94%), Klebsiella Pneumoniae 6 (10.17%), Streptococcal Pneumoniae 5 (8.47%), S.aureus 5 (8.47%), Acinetobacter 3 (5.08%) and miscellaneous 2 (3.38%). Conclusion: The percentage of SBP is quite high among patients having cirrhosis and ascites and the Gram-negative bacterial spectrum is still much common in our region.

Author Biographies

Ahmad Nawaz Babar, Madina Teaching Hospital, Faisalabad.

MBBS, FCPS (Gastro)

Assistant Professor Gastroenterology and Hepatology

 

Shahid Rasool, Madina Teaching Hospital, Faisalabad.

MBBS, FCPS (Gastro)

Associate Professor Gastroenterology and Hepatology

 

Salman Azhar, Madina Teaching Hospital, Faisalabad.

MBBS, FCPS (Gastro)

Assistant Professor Gastroenterology and Hepatology

 

Javeria Komal, Madina Teaching Hospital, Faisalabad.

MBBS

Post Graduate Resident Gastroenterology and Hepatology

Sofia Hanif, Madina Teaching Hospital, Faisalabad.

MBBS

Post Graduate Resident Gastroenterology and Hepatology

Published
2020-10-10