Current evaluation of sepsis among patients with liver cirrhosis

Faculty Medicine Year: 2018
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Afro-Egypt J Infect Endem Dis faculity of medicine zagazig university Volume:
Keywords : Current evaluation , sepsis among patients with    
Abstract:
Background and study aim: patients with liver cirrhosis have high incidence of sepsis. Spontaneous bacterial peritonitis and urinary tract infections are the most common infections among patients with liver cirrhosis. New criteria including quick qSOFA and sepsis-3 criteria are used for diagnosing sepsis in patients with liver cirrhosis. These criteria appear to be more accurate than SIRS. The aim of this study is to evaluate the existing scoring systems in our patients with liver cirrhosis to identify patients with sepsis. Patients and Methods: This prospective study included 288 consecutive patients previously diagnosed to have liver cirrhosis and suspected to have bacterial/fungal infections. Quick Sequential (sepsis-related) organ failure assessment (qSOFA) criteria and sepsis-3 criteria were used to identify patients with organ dysfunction due to sepsis. Results: qSOFA and sepsis-3 criteria are more accurate than SIRS in detecting sepsis among patients with cirrhosis (The area under the receiver operating characteristic curve (AUROC) value for a model with qSOFA and sepsis-3 was AUROC: 0.77 and 0.76), while AUROC for SIRS was 0.66 Conclusion: Sepsis-3 and qSOFA are more accurate than SIRS criteria in early detection of sepsis among patients with cirrhosis. Patients with positive criteria need intensive management due to high risk of in-hospital mortality.
   
     
 
       

Author Related Publications

  • Alsayed Saad Abdelbader Saad, "A study of the Role of 25 Hydroxy-Cholecalciferol Level on Non Alcoholic Fatty Liver Disease (NAFLD) in a Cohort of Egyptian Patients", faculity of medicine zagazig university, 2018 More
  • Alsayed Saad Abdelbader Saad, "Evaluation of HCV-associated Hepatocellular Carcinoma Based on Alpha-fetoprotein Levels", faculity of medicine zagazig university, 2020 More
  • Alsayed Saad Abdelbader Saad, "Ascitic non-HDL-C/ HDL-C Ratio: A Novel Prognostic Marker in Liver Cirrhosis", FACULTY OF MEDICINE ZAGAZIG UNIVERSITY, 2020 More
  • Alsayed Saad Abdelbader Saad, "Brucellosis Relapse: A Retrospective Study of Risk Factors among Saudi Patients", faculity of medicine zagazig university, 2018 More
  • Alsayed Saad Abdelbader Saad, "IL-1α and TGF-β1 as non-Invasive Liver Fibrosis Markers of Chronic Liver Injury among Chronic Liver Diseases Patients in Sharkia Governorate, Egypt", faculity of medicine zagazig university, 2020 More

Department Related Publications

  • Walid Ahmadi Abduldaim, "Can Combinations of Non-Invasive Parameters Replace Liver Biopsy in the Diagnosis of Hepatic Fibrosis in Egyptian Patients with Chronic Hepatitis C هل يستطيع مزيج من الطرق التشخيصية غير التداخلية أن تحل محل العينة الكبدية في تشخيص التليف ا", Science Domain International, 2013 More
  • Noha Elsyd AbdulSattar, "Can Combinations of Non-Invasive Parameters Replace Liver Biopsy in the Diagnosis of Hepatic Fibrosis in Egyptian Patients with Chronic Hepatitis C هل يستطيع مزيج من الطرق التشخيصية غيرالتداخلية ان تحل محل العينة الكبدية فى تشخيص التليف ال", British Microbiology Research Journal, 2013 More
  • Noha Elsyd AbdulSattar, "Serum Fetuin-A Evaluation in Chronic Hepatitis C Virus Patients with Concomitant Type 2 Diabetes Mellitus تقييم فيتوين-أ في المصل في مرضى الالتهاب الكبدي الفيروسي المزمن "سي" المصاحب بداء السكري من النوع (2)", Afro-Egyptian Journal of Infectious and Endemic Diseases, 2017 More
  • Ahmed Sakr Sherbini Mouhamed, "Upper Gastrointestinal Bleeding Associated with Myocardial Injury in Egyptian Patients: Frequency and Risk Factors", ACT publishing group L td. hong kong, 2013 More
  • Mohamed Ibrahim Magdy, "Needle-Knife Fistulotomy as a Rescue Access of the Common Bile Duct in Cirrhotic Patients: Feasibility and Outcome", www.mis.zu.edu.eg/ajied/home.aspx, 2013 More
Tweet