Spontaneous bacterial peritonitis.

نویسندگان

  • Mónica Barreales
  • Inmaculada Fernández
چکیده

Spontaneous bacterial peritonitis (SBP) is a common, serious complication in patients with cirrhosis and ascites. It is a bacterial infection of ascitic fluid in the absence of an adjacent, surgically amenable infection source. Since its description in 1964 (1) numerous studies, guidelines, and both national and international consensus conferences have brought significant advancement to the diagnosis and treatment of this condition, and significantly changed its prognosis (2-12). Initially considered a fatal complication of cirrhosis, with mortality above 90%, the condition may be currently treated with an in-hospital mortality rate around 2030% (13). However, it still is a highly relevant condition in clinical practice given its high prevalence (it affects 10-30% of inpatients with cirrhosis and ascites), high recurrence rate (up to 70% in the first year), and poor longterm prognosis with mortality reaching 50-70% at one year, which leads to consider patients recovering from SBP potential candidates for liver transplantation (4-10). PATHOPHYSIOLOGY

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عنوان ژورنال:
  • Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva

دوره 103 5  شماره 

صفحات  -

تاریخ انتشار 2011