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AN ASSESSMENT OF CLINICAL CHARACTERISTICS AND RESULTS AMONG SPONTANEOUS BACTERIAL PERITONITIS (SBP) PATIENTS

Dr. Hassan Hamid Mahmood, Dr. Muhammad Usman Khawaja, Dr. Kashif Hussain

Objectives: This research is conducted to observe the characteristics and results of spontaneous bacterial peritonitis cases. Material and Methods: This research was carried out from February to September 2017, at Jinnah Hospital, Lahore. A total of 50 SBP patients with known cirrhosis were observed. PMN count of > 250 of the ascitic fluid cell is used for diagnosis of SBP. Cell count of ascitic fluid was noted serially at about 24 hrs, 48 hrs up to 5 days. Results: The ratio of female: male in the patients of SBP was (1:2). Mean of the diagnosis age was 28 to 74 years (50.96 ± 11.48) years. The mutual characteristics clinically were: fever (56%), jaundice (64%), altered sensorium (44%), abdomen pain (54%), Malena or hematemesis (40%) and icterus (74%), oliguria (32%), hypotension (24%), abdominal tenderness (60%) and asterixis (46%). It was a severe result with a rate of mortality 42%. Conclusion: It was observed that the tendency of male cirrhosis patients was to be prey to SBP than the female cirrhosis patients. The greater number of patients were in the 60s of their lives. There is a high rate of mortality in this research. Keywords: Serial Ascitic Fluid Cell Count, Cirrhosis and SBP.

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