الفهرس 
Liver CirrhosisOnly 14 pages are availabe for public view
 |  | from | 106 |  |  |
| | | from | 106 | | |
Abstract
Background: Spontaneous bacterial peritonitis (SBP) is a common bacterial infection in patients with cirrhosis and ascites requiring prompt recognition and treatment. All patients with cirrhosis and ascites are at risk of SBP and the prevalence of SBP in outpatients is 1.5-3.5% and about 10%-30% in hospitalized patients. Half of the episodes of SBP are present at the time of hospital admission while the rest are acquired during hospitalization . In-hospital mortality for the first episode of SBP ranges from 10% to 50%, depending on various risk factors.
Aims: To identify the most suitable antibiotic to describe for empiric therapy of SBP in Egyptian patients with liver cirrhosis and ascites
Methodology: The study was a cross sectional observational study. Eighty consecutive patients presenting with tense ascites and manifestations of liver cirrhosis were included in the study. Patients were admitted at the Internal Medicine Departments of Ain Shams University Hospital and Ahmed Maher Teaching Hospital during the period between January 2016 and January 2017. All were complaining of abdominal pain, fever, nausea some of them presented with disturbed conscious level, others were asymptomatic.
Results: The study included 80 patients presenting with ascites and clinical manifestations of decompensated liver cirrhosis. They were 50 males (62.5%) and 30 females (37.5%) with a male to female ratio (1.7 : 1). Their age ranging between (50) and (60) years (55.12±5.61).
Conclusion: Any patient with liver cirrhosis and ascites complain of abdominal pain, vomiting, fever or disturbed conscious level should undergo ascetic fluid analysis for PMN cell count and culture\sensitivity.
Keywords: Spontaneous Bacterial, peritonitis in Patients, Liver Cirrhosis, Antimicrobial Sensitivity Pattern