Spontaneous bacterial and fungal peritonitis in patients with liver cirrhosis: A literature review

查看全文 作　　者：Toru [1]Shizuma

机构地区：[1]Department of Physiology, Tokai University School of Medicine

出　　处：《World Journal of Hepatology》索引2018年第10卷第2期,共13页

摘　　要：Spontaneous bacterial(SBP) and spontaneous fungal peritonitis(SFP) can be a life-threatening infection in patients with liver cirrhosis(LC) and ascites. One of the possible mechanisms of developing SBP is bacterial translocation. Although the number of polymorphonuclear cells in the culture of ascitic fluid is diagnostic for SBP, secondary bacterial peritonitis is necessary to exclude. The severity of underlying liver dysfunction is predictive of developing SBP; moreover, renal impairment and infections caused by multidrug-resistant(MDR) organism are associated with a fatal prognosis of SBP. SBP is treated by antimicrobials, but initial empirical treatment may not succeed because of the presence of MDR organisms, particularly in nosocomial infections. Antibiotic prophylaxis is recommended for patients with LC at a high risk of developing SBP, gastrointestinal bleeding, or a previous episode of SBP, but the increase in the risk of developing an infection caused by MDR organisms is a serious concern globally. Less is known about SFP in patients with LC, but the severity of underlying liver dysfunction may increase the hospital mortality. SFP mortality has been reported to be higher than that of SBP partially because the difficulty of early differentiation between SFP and SBP induces delayed antifungal therapy for SFP. 关键词：Liver cirrhosis SPONTANEOUS BACTERIAL PERITONITIS SPONTANEOUS FUNGAL PERITONITIS BACTERIAL INFECTIONS

相关文献

参考文献（159）
引证文献（41）
耦合文献（148）

参考文献(159)

引证文献(41)

耦合文献(148)

互联网出版许可证新出网证(渝)字10号全国400电话 - 免长途话费

Spontaneous bacterial and fungal peritonitis in patients with liver cirrhosis: A literature review

参考文献(159)

引证文献(41)

耦合文献(148)

用户提示