Background and aim: Spontaneous bacterial peritonitis (SBP) is one of the main complications of cirrhotic patients with ascites and is of great importance due to the high mortality rate and even in asymptomatic patients, a high prevalence of SBP has been documented. The objective of the present study was: To calculate the prevalence of SBP in decompensated cirrhotic patients who were hospitalized in the HCM, as well as to identify which is the main agent that appears in the SBP.
Material and methods: A retrospective study was performed in cirrhotic patients with SBP who were hospitalized in the Gastroenterology Section of the Central Military Hospital from the period of January 2017 to January 2018. Patients with CH with data on SBP were included, those patients with HCC were excluded, secondary or cirrhotic peritonitis with tumor-caused peritoneal carcinomatosis.
Results: A review of the records was carried out and there were 134 patients, 68 (50.7%) male, with an average age of 56.42±15.27 years, the etiology of cirrhosis had alcoholic cirrhosis with 80 (40%), autoimmune etiology 72 (36%) patients, CBP 12 (6%), cirrhosis due to NASH 12 (6%), cirrhosis due to HBV 16 (8%) and cirrhosis due to HCV 8 (4%). According to the reports of the cultures and antibiograms, there was a higher frequency of E. Coli 84 (42%) and a lower frequency of S. aureus 15 (8%) (See Table 1). AKI type SHR was diagnosed in 188 (94%) of patients.
Conclusions: The most common etiology found was E. Coli ESBL with sensitivity to carbapenems (Meropenem), so in our hospital, the use of this type of antibiotics should be considered as first-line treatment to avoid progression to RHS and thus decrease the day of hospital stay and recurrence of hospitalization for SBP
Conflicts of interest: The authors have no conflicts of interest to declare.
