Bacterial infections in patients with liver cirrhosis and ascites
Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacter...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Marković-Živković Bojana [verfasserIn] Bjelaković Goran [verfasserIn] Nagorni Aleksandar [verfasserIn] Benedeto-Stojanov Daniela [verfasserIn] Petrović Bratislav [verfasserIn] Radisavljević Mirjana [verfasserIn] Petrović Gordana [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch ; srp |
| Erschienen: |
2014 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Srpski Arhiv za Celokupno Lekarstvo - Serbian Medical Society, 2010, 142(2014), 9-10, Seite 551-556 |
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| Übergeordnetes Werk: |
volume:142 ; year:2014 ; number:9-10 ; pages:551-556 |
| Links: |
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| DOI / URN: |
10.2298/SARH1410551M |
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| Katalog-ID: |
DOAJ050740709 |
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| 520 | |a Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. | ||
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10.2298/SARH1410551M doi (DE-627)DOAJ050740709 (DE-599)DOAJfc6d8dfdc34d4689b00633e04262bb38 DE-627 ger DE-627 rakwb eng srp Marković-Živković Bojana verfasserin aut Bacterial infections in patients with liver cirrhosis and ascites 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. liver cirrhosis bacterial infections spontaneous bacterial peritonitis Medicine R Bjelaković Goran verfasserin aut Nagorni Aleksandar verfasserin aut Benedeto-Stojanov Daniela verfasserin aut Petrović Bratislav verfasserin aut Radisavljević Mirjana verfasserin aut Petrović Gordana verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 142(2014), 9-10, Seite 551-556 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:142 year:2014 number:9-10 pages:551-556 https://doi.org/10.2298/SARH1410551M kostenfrei https://doaj.org/article/fc6d8dfdc34d4689b00633e04262bb38 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791410551M.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 142 2014 9-10 551-556 |
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10.2298/SARH1410551M doi (DE-627)DOAJ050740709 (DE-599)DOAJfc6d8dfdc34d4689b00633e04262bb38 DE-627 ger DE-627 rakwb eng srp Marković-Živković Bojana verfasserin aut Bacterial infections in patients with liver cirrhosis and ascites 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. liver cirrhosis bacterial infections spontaneous bacterial peritonitis Medicine R Bjelaković Goran verfasserin aut Nagorni Aleksandar verfasserin aut Benedeto-Stojanov Daniela verfasserin aut Petrović Bratislav verfasserin aut Radisavljević Mirjana verfasserin aut Petrović Gordana verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 142(2014), 9-10, Seite 551-556 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:142 year:2014 number:9-10 pages:551-556 https://doi.org/10.2298/SARH1410551M kostenfrei https://doaj.org/article/fc6d8dfdc34d4689b00633e04262bb38 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791410551M.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 142 2014 9-10 551-556 |
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10.2298/SARH1410551M doi (DE-627)DOAJ050740709 (DE-599)DOAJfc6d8dfdc34d4689b00633e04262bb38 DE-627 ger DE-627 rakwb eng srp Marković-Živković Bojana verfasserin aut Bacterial infections in patients with liver cirrhosis and ascites 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. liver cirrhosis bacterial infections spontaneous bacterial peritonitis Medicine R Bjelaković Goran verfasserin aut Nagorni Aleksandar verfasserin aut Benedeto-Stojanov Daniela verfasserin aut Petrović Bratislav verfasserin aut Radisavljević Mirjana verfasserin aut Petrović Gordana verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 142(2014), 9-10, Seite 551-556 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:142 year:2014 number:9-10 pages:551-556 https://doi.org/10.2298/SARH1410551M kostenfrei https://doaj.org/article/fc6d8dfdc34d4689b00633e04262bb38 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791410551M.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 142 2014 9-10 551-556 |
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10.2298/SARH1410551M doi (DE-627)DOAJ050740709 (DE-599)DOAJfc6d8dfdc34d4689b00633e04262bb38 DE-627 ger DE-627 rakwb eng srp Marković-Živković Bojana verfasserin aut Bacterial infections in patients with liver cirrhosis and ascites 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. liver cirrhosis bacterial infections spontaneous bacterial peritonitis Medicine R Bjelaković Goran verfasserin aut Nagorni Aleksandar verfasserin aut Benedeto-Stojanov Daniela verfasserin aut Petrović Bratislav verfasserin aut Radisavljević Mirjana verfasserin aut Petrović Gordana verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 142(2014), 9-10, Seite 551-556 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:142 year:2014 number:9-10 pages:551-556 https://doi.org/10.2298/SARH1410551M kostenfrei https://doaj.org/article/fc6d8dfdc34d4689b00633e04262bb38 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791410551M.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 142 2014 9-10 551-556 |
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10.2298/SARH1410551M doi (DE-627)DOAJ050740709 (DE-599)DOAJfc6d8dfdc34d4689b00633e04262bb38 DE-627 ger DE-627 rakwb eng srp Marković-Živković Bojana verfasserin aut Bacterial infections in patients with liver cirrhosis and ascites 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. liver cirrhosis bacterial infections spontaneous bacterial peritonitis Medicine R Bjelaković Goran verfasserin aut Nagorni Aleksandar verfasserin aut Benedeto-Stojanov Daniela verfasserin aut Petrović Bratislav verfasserin aut Radisavljević Mirjana verfasserin aut Petrović Gordana verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 142(2014), 9-10, Seite 551-556 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:142 year:2014 number:9-10 pages:551-556 https://doi.org/10.2298/SARH1410551M kostenfrei https://doaj.org/article/fc6d8dfdc34d4689b00633e04262bb38 kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791410551M.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 142 2014 9-10 551-556 |
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Marković-Živković Bojana |
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Bacterial infections in patients with liver cirrhosis and ascites |
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Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. |
| abstractGer |
Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. |
| abstract_unstemmed |
Introduction. Bacterial infections are common complications and the cause of death in patients with cirrhosis and ascites. There is no standard method for a rapid and low-cost diagnosis, and its prognosis is poor. Objective. The aim of this study was to determine the etiology and frequency of bacterial infections in patients with liver cirrhosis of different etiology, and the influence of bacterial infections on the prognosis in patients with liver cirrhosis and ascites. Methods. Sixty-four patients with cirrhosis and ascites were included in the study. The diagnosis of spontaneous bacterial peritonitis was established based on the diagnostic abdominal paracentesis and the results of biochemical, cytological and microbiologic analysis of ascitic fluid. The diagnosis of urinary infection and pneumonia were made according to the standard criteria. Results. Spontaneous bacterial peritonitis was diagnosed in 23 (35.9%) patients, urinary infections in 16 (25%) and pneumonia in 11 (17.2%). Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. A timely recognition of bacterial infections and the initiation of treatment have a positive effect on the prognosis of such patients. |
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Gram positive and gram negative bacteria in spontaneous bacterial peritonitis were etiologically almost equally represented (52%; 48%). The most frequent causes were Escherichia coli and Staphylococcus aureus. In 81% of patients urinary infections were caused by gram negative bacteria (Escherichia coli in 44%). The most frequent cause of pneumonia was Streptococcus pneumoniae (46%). Conclusion. Spontaneous bacterial peritonitis, urinary infections and bronchopneumonia are the most frequent bacterial infections in patients with liver cirrhosis and ascites. 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