Spontaneous Bacterial Peritonitis in Cases with Liver Cirrhosis

Bushra Kokab; Saqib Nadeem; Saad Ur Rehman

doi:10.29054/apmc/2018.167

Bushra Kokab Medical Officer Children Hospital Multan
Saqib Nadeem Medical Officer Basic health unit Chak # 106 Tehsil Jahanian Distt Khanewal
Saad Ur Rehman Medical officer RHC Nia Lahore, Tehsil Gojra Distt Toba Tek Singh

DOI: https://doi.org/10.29054/apmc/2018.167

Keywords: Liver cirrhosis, Spontaneous Bacterial Peritonitis

Abstract

Objective: To determine the frequency of spontaneous bacterial peritonitis (SBP) in cases with liver cirrhosis. Study design: Cross-sectional study. Place of study: Department of Medicine, Shaikh Zayed Hospital, Lahore Period of study: From March 2016 to November 2016. Methodology: In this study there were total 100 cases included of liver cirrhosis of both genders with age range of 12 to 70 years. Cirrhosis was labelled depending upon the ultrasonography findings of decreased liver size, parenchymal changes with or without portal vein dilatation with deranged liver functions. SBP was labelled where the ascites albumin gradient was more than 1.1 with TLC count more than 500 with neutrophils more than 250/ml. Results: In the present study there were total 100 cases of liver cirrhosis. There were 69 (69%) males and 31 (31%) females. The mean age of the cases was 49.21±8.14 years. Spontaneous bacterial peritonitis was seen in 40 (40%) of the cases. There was no significant different in term of duration of cirrhosis with p= 0.98. SBP was seen in 32 (47.05%) in child pugh class C and 08 (33.33%) in class B with p= 0.04. Conclusion: Spontaneous bacterial peritonitis is seen in almost half of the cases of liver cirrhosis and is significantly associated with child pugh class C.