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Paper Information

Journal:   TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)   2004 , Volume 62 , Number 5; Page(s) 378 To 383.
 
Paper: 

BACTERIAL PERITONITIS IN PATIENTS WITH LIVER DISEASE AND ASCITES

 
 
Author(s):  BAZM AMOUN H., KHATAMI GH.R.
 
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Abstract: 

Background: Bacterial peritonitis is the most common infection in cirrhotic patients. The frequency of 8%-40% has been reported which would result in high mortality if not treated properly or at time. Clinical presentations usually are nonspecific. The aim of study is finding the frequency of bacterial peritonitis in pediatric patients with liver disease and ascites whom were admitted at ped. ward of Children Hospital Center from 1999-2000and necessity of routine peritoneal tap in them.
Materials and Methods: This is a cross-sectional descriptive study on 91 children with liver disease and ascites admitted in ward and undergone bedside routineperitoneal tap at Children Hospital Center. Clinical and laboratory finding compared between children with or without peritonitis.
Results: 22 (24%) of totally 91 patients had peritonitis. Age, fever, abdominal pain, poly-nucleosis, prolongation of PT, reduction of serum albumin were significantly related to peritonitis (p<0.05) whereas other factors like sex, rising of bilirubin, reduction of consciousness, leukocytosis and rising ESR were not. All of the patients were in group B&C based on Childs grade and commonest agents were pneumococcus and E Coli. Based on type of peritonitis most of patients were in group Culture negative neutrocytic ascites.
Conclusion: this study emphasized on routine peritoneal tap and bed side culturing of ascitic fluid.

 
Keyword(s): BACTERIAL PERITONITIS, CHILDREN, LIVER DISEASE, ASCITES
 
References: 
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