Risk Factors of Spontaneous Bacterial Peritonitis in Upper Egypt

Abstract

Spontaneous bacterial peritonitis (SBP) is a severe c;omplication in cirrhotic patients with ascites and now established that early diagnosis is essential and is accomplished by diagnostic paracentesis performed at admission and /or at the occurrence of any symptom or sign suggestive of SBP (Garcia-Tsao, 1999).

Spontaneous bacterial peritonitis is a bacterial infection of the ascitic fluid in the absence of any other sources of sepsis within the peritoneum or adjacent tissues. There are three subtypes of spontaneous bacterial peritonitis (SBP):

1. "Classical" spontaneous bacterial peritonitis (SBP): was diagnosed when ascitic fluid polymorphonuclear leucocytic count was more than or equal 250 cells/mm3 with a positive culture of the ascitic fluid.

2. Monomicrobial non-neutrocytic bacterascites (MNBA): was diagnosed when ascitic fluid polymorphonuclear leucocytic count was Jess than 250 cells/mm3 with a positive culture of the ascitic fluid.

3. Culture negative neutrocytic ascites (CNNA): was diagnosed when ascitic fluid polymorphonuclear leucocytic count was more than 250 cells/mm3 with a negative culture of the ascitic fluid