الفهرس 
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Abstract
Patients with decompensated cirrhosis are at high risk of developing serious infections. Nosocomial chest infection remains one of the most common causes of morbidity and mortality in these patients. Based on previous studies, NCI is common in advanced liver disease with a prevalence of about 6–46% in patients hospitalized. Although chest infection in particular pneumonia exhibits higher mortality in the patient with cirrhosis, few studies have discussed the epidemiology and characteristics of hospital acquired chest infection in cirrhotic patients. However, in clinical situation, NCI in particular pneumonia in cirrhosis dramatically increases mortality. To recognize the risk factors of chest infection, the current work was conducted. The current study was performed over year duration between in period between January 2019 and December 2019. It was conducted at Intensive Care Unit (ICU) of Department of Tropical Medicine and Gastroenterology of Al- Rajhi Liver Hospital in Assiut University Hospitals. Five hundred patients with decompensated live cirrhosis were admitted to ICU during the study period. All enrolled patients had no chest problems without any signs of infection. Those patients were subjected to through history and physical evaluation. Twenty percent patients developed NCI. It was noticed that mean age patients with NCI was higher in those with NCI than those didn’t develop NCI. Also, duration of liver cirrhosis was longer in patients with NCI. But level of serum albumin was lower among those patients. Blood culture showed growth in only five patients with NCI. As regard sputum culture; Klebsiella species were the most frequent isolated.