Predictive factors of recurrence in spontaneous bacterial peritonitis in Tunisian patients with cirrhosis

Introduction: Recurrent spontaneous bacterial peritonitis (SBP) in patients with cirrhosis is associated with poor prognosis. Aim: To assess the prevalence and the risk factors for recurrence and to evaluate its impact on the prognosis. Materials & methods: We conducted a retrospective study inc...

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Main Authors: Manel Moalla, Nour Elleuch, Wafa Dahmani, Aya Hammami, Wafa Ben Ameur, Aida Ben Slama, Ahlem Brahem, Salem Ajmi, Mehdi Ksiaa, Hanen Jaziri, Ali Jmaa
Format: Article
Language:English
Published: Taylor & Francis Group 2023-06-01
Series:Future Science OA
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Online Access:https://www.future-science.com/doi/10.2144/fsoa-2023-0016
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Summary:Introduction: Recurrent spontaneous bacterial peritonitis (SBP) in patients with cirrhosis is associated with poor prognosis. Aim: To assess the prevalence and the risk factors for recurrence and to evaluate its impact on the prognosis. Materials & methods: We conducted a retrospective study including patients with cirrhosis having a first episode of SBP. Results: A recurrence of SBP was identified in 43.4% of the patients who survived after a first episode of SBP. The mean time to onset of the first SBP recurrence from the first episode was 32 days. Recurrence factors were endoscopic hypertensive signs, a positive ascites culture, diarrhea and the MELD score. Conclusion: There was no impact on survival of recurrent SBP compared with the first SBP episode.
ISSN:2056-5623