diagnosis of spontaneous bacterial peritonitis in children by reagent strips.

نویسندگان

fatemeh farahmand department of gastroentestinal, children's medical center, tehran university of medical sciences, tehran, iran.

mohammad eshagh roze department of pediatrics, children’s medical center, tehran university of medical sciences, tehran, iran.

sedighe shams department of gastroentestinal, children’s medical center, tehran university of medical sciences, tehran, iran.

mahsa ghajarzadeh brain and spinal injury repair research center, tehran university of medical sciences, tehran, iran.

چکیده

this study was aimed to evaluate the efficacy of dipstick tests (leukocyte esterase and nitrite) in diagnosis of spontaneous bacterial peritonitis (sbp) in cirrhotic patients. forty six children with ascites hospitalized between 2009 and 2010 in children medical center were enrolled in this study. reagent strip assays for leukocyte esterase and nitrite were performed on ascetic fluid and the results were compared to manual cell counting and ascitic fluid culture. sbp was defined as having a polymorphonuclear ascites count of ≥ 250/mm3. twenty children were female and twenty six were male with mean age of 3±3.9 years. the sensitivity specificity, positive and negative predictive values of the leukocyte esterase reagent strips were all 100%. the sensitivity, specificity, positive and negative predictive value of the nitrite reagent strip test were 100%, 97%, 90% and 100% respectively. leukocyte esterase reagent strips may provide a rapid, bedside diagnostic test for the diagnosis of sbp.

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منابع مشابه

Diagnosis of spontaneous bacterial peritonitis in children by reagent strips.

This study was aimed to evaluate the efficacy of dipstick tests (leukocyte esterase and nitrite) in diagnosis of spontaneous bacterial peritonitis (SBP) in cirrhotic patients. Forty six children with ascites hospitalized between 2009 and 2010 in Children Medical Center were enrolled in this study. Reagent strip assays for leukocyte esterase and nitrite were performed on ascetic fluid and the re...

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Evaluation of Leukocyte Esterase Reagent Strips Test in the Diagnosis of Spontaneous Bacterial Peritonitis in Children with Cirrhosis.

BACKGROUND Spontaneous bacterial peritonitis is defined as an ascetic fluid infection without an evident intra-abdominal surgically treatable source. Spontaneous bacterial peritonitis is one of the severe complications in patients with cirrhosis and ascites. Without early antibiotic treatment, this complication is associated with high mortality rate; therefore, early diagnosis and treatment of ...

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Evaluation of reagent strips for ascitic fluid leukocyte determination: is it a possible alternative for spontaneous bacterial peritonitis rapid diagnosis?

In order to evaluate the accuracy of a urine reagent dipstick (Multistix 10SG) to determine ascitic fluid leukocyte count, we prospectively studied 106 cirrhotic patients from April 2003 to December 2004, in two different centers (Federal University of São Paulo - UNIFESP-EPM and Federal University of Juiz de Fora - HU-UFJF) for the rapid bedside diagnosis of spontaneous bacterial peritonitis. ...

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Evaluation of leucocyte esterase reagent strip test for the rapid bedside diagnosis of spontaneous bacterial peritonitis.

BACKGROUND Spontaneous bacterial peritonitis (SBP) is a common serious complication of cirrhosis, and carries a high morbidity and mortality. Rapid diagnosis and prompt treatment of this condition may improve survival of such patients. OBJECTIVE To validate the diagnostic efficacy of a leukocyte esterase reagent (LER) strip test for rapid, bedside diagnosis of SBP. METHODS We prospectively ...

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Spontaneous bacterial peritonitis: pathogenesis, diagnosis, treatment.

Due to inadequate defence mechanisms, cirrhotic patients with ascites have an increased susceptibility to infections, the most frequent and the most severe one being spontaneous bacterial peritonitis (SBP). SBP diagnosis is based on testing of the ascitic fluid obtained by paracentesis. A polymorphonuclear cell count of more than 250 cells/mm3 of ascitic fluid is considered diagnostic and from ...

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عنوان ژورنال:
acta medica iranica

جلد ۵۱، شماره ۲، صفحات ۱۲۵-۱۲۸

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