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Abstract The ascitic culture and sensitivity taken from the studied patients showed that 74% of patients with infected ascites had culture negative neutrocytic ascites, 22% of patients with infected ascites had monomicrobial bacterascites and 4% of patients with infected ascites had polymicrobial bacterascites. E.coli was the most frequently isolated micro-organism (7%). As regards the upper gastrointestinal endoscopy, 30% of patients with infected ascites had no esophageal varices or fundal varices, 33% had small or medium sized esophageal varices and 26% had large risky esophageal varices banded. Also, 7% of patients with infected ascites had fundal varices injected. Among the 27 studied patients with infected ascites, 12 patients responded to the first-line antibiotic therapy (third generation Cephalosporins), 10 patients responded to the second-line antibiotic therapy (9 patients responded to Meropenem where two of them were culture-based and one patient responded to Piperacillin/Tazobactam), three patients responded to culture-based Linezolide and one patient responded to culture-based Ciprofloxacin and one patient was asymptomatic Non-neutrocitic bacterascites who did not receive antibiotic treatment |