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NCT05696054 | Not yet recruiting | Spontaneous Bacterial Peritonitis


Laboratory Diagnosis of Spontaneous Bacterial Peritonitis
Sponsor:

Sohag University

Information provided by (Responsible Party):

Amira Maher

Brief Summary:

This study aims at evaluating the diagnostic accuracy of serum procalcitonin, PEC index, modified Wehmeyer, and Mansoura scoring systems for SBP in cirrhotic patients with ascites

Condition or disease

Spontaneous Bacterial Peritonitis

Detailed Description:

Based on clinical diagnosis, SBP is commonly underdiagnosed because of its nonspecific or asymptomatic presentation. Therefore, a diagnostic paracentesis should be performed in all cirrhotic patients with ascites who require emergency room care or hospitalization, who demonstrate signs/symptoms suggesting SBP, or who present gastrointestinal bleeding, in order to exclude SBP. Several non-invasive methods were tried in many studies for SBP diagnosis, as alternatives to diagnostic paracentesis, e.g., fecal calprotectin. Moreover, numerous scores were proposed for SBP diagnosis with variable accuracies, such as procalcitonin, ESR, and CRP (PEC) index, the modified Wehmeyer SBP scoring system, and Mansoura scoring system. This study aims at evaluating the diagnostic accuracy of serum procalcitonin, PEC index, modified Wehmeyer, and Mansoura scoring systems for SBP in cirrhotic patients with ascites. participants will be subjected to: Clinical evaluation: medical history and physical examination, Routine Laboratory investigations, Serum procalcitonin, Ascitic fluid study, Ascitic fluid culture with antibiotic sensitivity, Abdominal ultrasonography. The following scores will be calculated: Modified Child Pugh score, MELD score, MELD Na score, PEC index, Modified Wehmeyer score, and Mansoura score.

Study Type : Observational
Estimated Enrollment : 80 participants
Official Title: Diagnostic Performance of Different Scores for Predicting Spontaneous Bacterial Peritonitis in Cirrhotic Patients
Actual Study Start Date : February 15, 2023
Estimated Primary Completion Date : July 15, 2023
Estimated Study Completion Date : September 15, 2023

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • cirrhotic patients with ascites
Exclusion Criteria
  • Infections other than SBP.
  • malignancy.
  • Antibiotic therapy before hospital admission.
  • Chemotherapy or radiotherapy within 1 month before admission.
  • Pancreatic diseases.
  • contraindication to paracentesis

Laboratory Diagnosis of Spontaneous Bacterial Peritonitis

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Laboratory Diagnosis of Spontaneous Bacterial Peritonitis

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