MELD Score Is Not Related to Spontaneous Bacterial Peritonitis
This study investigates the correlation between SBP and repeated paracentesis, and its relation to MELD score, in cirrhotic patients with refractory ascites in an outpatient setting. Through the data base, 148 cirrhotic patients were prospectively included in the study with refractory ascites underg...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/270456 |
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| author | Luciana Haddad Tatiana Morgado Conte Liliana Ducatti Lucas Nacif Luiz Augusto Carneiro D’Albuquerque Wellington Andraus |
| author_facet | Luciana Haddad Tatiana Morgado Conte Liliana Ducatti Lucas Nacif Luiz Augusto Carneiro D’Albuquerque Wellington Andraus |
| author_sort | Luciana Haddad |
| collection | DOAJ |
| description | This study investigates the correlation between SBP and repeated paracentesis, and its relation to MELD score, in cirrhotic patients with refractory ascites in an outpatient setting. Through the data base, 148 cirrhotic patients were prospectively included in the study with refractory ascites undergoing relief paracentesis from March 2012 to March 2013. Demographics data, etiology of liver disease, MELD score, and inscription on the waiting list for liver transplantation were analyzed. The ascites removed was analyzed through cellular count and culture for the diagnosis of spontaneous bacterial peritonitis. The cirrhotic patients underwent a total of 854 paracentesis procedures in the ambulatory setting during the study period. Eighty-one patients (54%) were on the waiting list for liver transplantation. Patients on the liver transplant list had higher associated costs due to a higher total number of outpatient paracentesis procedures (394.7 ± 512.3 versus 291.7 ± 384.7) and a higher volume drained per procedure (6.5 ± 8.5 versus 4.8 ± 6.4). There were 28 episodes of SBP (3.3%) diagnosed in 24 patients. In conclusion, the prevalence of asymptomatic SBP in cirrhotic patients with refractory ascites undergoing repeated paracentesis is low. MELD score is not related to spontaneous bacterial peritonitis. |
| format | Article |
| id | doaj-art-f71a817982f54a49bf1b10068172035f |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-f71a817982f54a49bf1b10068172035f2025-02-03T06:14:08ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/270456270456MELD Score Is Not Related to Spontaneous Bacterial PeritonitisLuciana Haddad0Tatiana Morgado Conte1Liliana Ducatti2Lucas Nacif3Luiz Augusto Carneiro D’Albuquerque4Wellington Andraus5Liver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of São Paulo School of Medicine, Rua Aracaju 42, Ap. 41, 01240030 São Paulo, SP, BrazilLiver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of São Paulo School of Medicine, Rua Aracaju 42, Ap. 41, 01240030 São Paulo, SP, BrazilLiver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of São Paulo School of Medicine, Rua Aracaju 42, Ap. 41, 01240030 São Paulo, SP, BrazilLiver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of São Paulo School of Medicine, Rua Aracaju 42, Ap. 41, 01240030 São Paulo, SP, BrazilLiver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of São Paulo School of Medicine, Rua Aracaju 42, Ap. 41, 01240030 São Paulo, SP, BrazilLiver and Gastrointestinal Transplant Division, Department of Gastroenterology, University of São Paulo School of Medicine, Rua Aracaju 42, Ap. 41, 01240030 São Paulo, SP, BrazilThis study investigates the correlation between SBP and repeated paracentesis, and its relation to MELD score, in cirrhotic patients with refractory ascites in an outpatient setting. Through the data base, 148 cirrhotic patients were prospectively included in the study with refractory ascites undergoing relief paracentesis from March 2012 to March 2013. Demographics data, etiology of liver disease, MELD score, and inscription on the waiting list for liver transplantation were analyzed. The ascites removed was analyzed through cellular count and culture for the diagnosis of spontaneous bacterial peritonitis. The cirrhotic patients underwent a total of 854 paracentesis procedures in the ambulatory setting during the study period. Eighty-one patients (54%) were on the waiting list for liver transplantation. Patients on the liver transplant list had higher associated costs due to a higher total number of outpatient paracentesis procedures (394.7 ± 512.3 versus 291.7 ± 384.7) and a higher volume drained per procedure (6.5 ± 8.5 versus 4.8 ± 6.4). There were 28 episodes of SBP (3.3%) diagnosed in 24 patients. In conclusion, the prevalence of asymptomatic SBP in cirrhotic patients with refractory ascites undergoing repeated paracentesis is low. MELD score is not related to spontaneous bacterial peritonitis.http://dx.doi.org/10.1155/2015/270456 |
| spellingShingle | Luciana Haddad Tatiana Morgado Conte Liliana Ducatti Lucas Nacif Luiz Augusto Carneiro D’Albuquerque Wellington Andraus MELD Score Is Not Related to Spontaneous Bacterial Peritonitis Gastroenterology Research and Practice |
| title | MELD Score Is Not Related to Spontaneous Bacterial Peritonitis |
| title_full | MELD Score Is Not Related to Spontaneous Bacterial Peritonitis |
| title_fullStr | MELD Score Is Not Related to Spontaneous Bacterial Peritonitis |
| title_full_unstemmed | MELD Score Is Not Related to Spontaneous Bacterial Peritonitis |
| title_short | MELD Score Is Not Related to Spontaneous Bacterial Peritonitis |
| title_sort | meld score is not related to spontaneous bacterial peritonitis |
| url | http://dx.doi.org/10.1155/2015/270456 |
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