Diagnosing Spontaneous Bacterial Peritonitis in Children with Liver Disease
Author Information
Author(s): El-Shabrawi Mortada HF, El-Sisi Ola, Okasha Sawsan, Isa Mona, Elmakarem Sayed Abou, Eyada Iman, Abdel-Latif Zainab, El-Batran Gamal, Kamal Naglaa
Primary Institution: Cairo University
Hypothesis
Can spontaneous bacterial peritonitis (SBP) be diagnosed through routine ascitic fluid tapping in children with chronic liver disease?
Conclusion
SBP is common in children with chronic liver disease, and biochemical parameters of ascitic fluid improve diagnostic accuracy.
Supporting Evidence
- Five patients were diagnosed with SBP, representing 16.7% of the sample.
- Eight patients had culture negative neutrocytic ascites (CNNA), accounting for 26.7%.
- The study found that fever was significantly more common in SBP and CNNA cases compared to negative cases.
Takeaway
Doctors can find out if kids with liver problems have a serious infection by checking their belly fluid.
Methodology
Thirty infants and children with chronic liver disease and ascites were studied, with ascitic fluid analyzed for various biochemical and bacteriological parameters.
Limitations
The study was limited to a small sample size and specific demographic.
Participant Demographics
Mean age of participants was 5.1 years, with 63.4% male and 36.6% female.
Statistical Information
P-Value
p = 0.0001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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