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Bacteremia is a prognostic factor for poor outcome in spontaneous bacterial peritonitis
DC Field | Value | Language |
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dc.contributor.author | Cho, Jae Hyun | - |
dc.contributor.author | Park, Kyung Hwa | - |
dc.contributor.author | Kim, Sung Han | - |
dc.contributor.author | Bang, Ji Hwan | - |
dc.contributor.author | Park, Wan Beom | - |
dc.contributor.author | Kim, Hong-Bin | - |
dc.contributor.author | Kim, Nam Joong | - |
dc.contributor.author | Oh, Myong-Don | - |
dc.contributor.author | Lee, Hyo Suk | - |
dc.contributor.author | Choe, Kang-Won | - |
dc.date.accessioned | 2024-04-26T01:13:34Z | - |
dc.date.available | 2024-04-26T01:13:34Z | - |
dc.date.created | 2023-05-01 | - |
dc.date.issued | 2007 | - |
dc.identifier.citation | Scandinavian Journal of Infectious Diseases, Vol.39 No.8, pp.697-702 | - |
dc.identifier.issn | 0036-5548 | - |
dc.identifier.uri | https://hdl.handle.net/10371/199775 | - |
dc.description.abstract | We performed a retrospective study to determine the influence of bacteremia on the mortality of patients with spontaneous bacterial peritonitis (SBP), a major complication of liver cirrhosis. Patients with SBP with identified pathogens from ascites and/or blood were analyzed by retrospective review of clinical and laboratory records in a university hospital in Korea for 3 y and classified into the bacteremic and non-bacteremic groups. The underlying liver function was determined by model for end-stage liver disease (MELD) score. Microbiological response rate, ascites polymorphonuclear leukocyte (PML) count reduction rate, and SBP-related mortality were compared between the 2 groups. To identify the independent risk factors of mortality, a multiple logistic regression model was used to control for the confounders. A total of 189 patients was enrolled in the study. Among 189 patients, 110 (58.2%) were bacteremic, and 79 (41.8%) non-bacteremic. Escherichia coli was the most common etiologic organism, followed by Klebsiella pneumoniae. MELD scores, microbiological response rate (82.6% vs 88.6%, p =0.295), and ascites PML count reduction rate (33.2% vs 44.8%, p =0.479) were not different between the bacteremic and non-bacteremic group. However, the SBP-related mortality rate of the bacteremic group was significantly higher than that of the non-bacteremic group (37.3% vs 12.7%, p <0.001). Bacteremia (OR =2.86: 95% CI 1.06-7.74, p =0.038), APACHE II score (OR = 1.20: 95% CI 1.10-1.31, p <0.001), MELD score (OR = 1.07: 95% CI 1.01-1.31, p = 0.016) and microbiological no response (OR =5.51: 95% CI 1.82-16.72, p =0.003) were independent risk factors of SBP-related mortality. | - |
dc.language | 영어 | - |
dc.publisher | Taylor & Francis | - |
dc.title | Bacteremia is a prognostic factor for poor outcome in spontaneous bacterial peritonitis | - |
dc.type | Article | - |
dc.identifier.doi | 10.1080/00365540701299582 | - |
dc.citation.journaltitle | Scandinavian Journal of Infectious Diseases | - |
dc.identifier.wosid | 000248541200006 | - |
dc.identifier.scopusid | 2-s2.0-34547494490 | - |
dc.citation.endpage | 702 | - |
dc.citation.number | 8 | - |
dc.citation.startpage | 697 | - |
dc.citation.volume | 39 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Park, Wan Beom | - |
dc.contributor.affiliatedAuthor | Kim, Hong-Bin | - |
dc.contributor.affiliatedAuthor | Kim, Nam Joong | - |
dc.contributor.affiliatedAuthor | Oh, Myong-Don | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | NEGATIVE NEUTROCYTIC ASCITES | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | CIRRHOTICS | - |
dc.subject.keywordPlus | DIAGNOSIS | - |
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