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Predictive Factors of Spontaneous Bacterial Peritonitis Caused by Gram-Positive Bacteria in Patients With Cirrhosis

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dc.contributor.author구남수-
dc.contributor.author김준명-
dc.contributor.author송영구-
dc.contributor.author안상훈-
dc.contributor.author최준용-
dc.contributor.author한광협-
dc.contributor.author한상훈-
dc.contributor.author김정호-
dc.date.accessioned2017-02-27T08:25:42Z-
dc.date.available2017-02-27T08:25:42Z-
dc.date.issued2016-
dc.identifier.issn0025-7974-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/147183-
dc.description.abstractSpontaneous bacterial peritonitis (SBP) in patients with cirrhosis is typically caused by gram-negative bacteria. However, the number of SBP cases due to gram-positive bacteria is steadily increasing. To date, little is known about the predictive factors involved in SBP infections.We performed a retrospective cohort study of patients (>18 years) with SBP due to gram-positive and -negative bacteria who were enrolled from January 2006 to December 2013 at Severance Hospital in Seoul, Korea where the incidences of hepatitis B virus associated chronic liver disease, cirrhosis, and hepatocellular carcinoma are high. Only the 1st SBP episode for each patient within the study period was included in our analysis.We identified 77 patients with cirrhosis and SBP. Of these, 27 patients (35%) had gram-positive bacterial infections and 50 patients (65%) had gram-negative bacterial infections. Our univariate analysis revealed that an early stage of cirrhosis (P = 0.004), lower creatinine level (P = 0.011), lower Sequential Organ Failure Assessment (SOFA) score (P = 0.001), lower Model for End-Stage Liver Disease score (P = 0.005), and use of systemic antibiotics within 30 days before SBP diagnosis (P = 0.03) were significantly associated with gram-positive bacterial infections. Our multivariate analysis indicated that the use of systemic antibiotics within 30 days before SBP diagnosis (odds ratio, 3.94; 95% CI, 1.11-13.96; P = 0.033) and a lower SOFA score (odds ratio, 0.56; 95% CI, 0.37-0.86; P = 0.007) were independent predictive factors of SBP caused by gram-positive bacterial infections in patients with cirrhosis. However, we did not observe a statistically significant difference in the 28-day mortality between the gram-positive and -negative bacterial infection groups (40.7% vs 46.0%, respectively; P = 0.407).In this study, the incidence rate of SBP caused by gram-positive bacteria in patients with cirrhosis was similar to the rates reported in recently published studies. Furthermore, the use of systemic antibiotics within 30 days before SBP diagnosis and a lower SOFA score were significantly associated with SBP caused by gram-positive bacteria in patients with cirrhosis.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfMEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHAntibiotic Prophylaxis-
dc.subject.MESHCarcinoma, Hepatocellular/diagnosis-
dc.subject.MESHCarcinoma, Hepatocellular/microbiology-
dc.subject.MESHCohort Studies-
dc.subject.MESHComorbidity-
dc.subject.MESHFemale-
dc.subject.MESHGram-Negative Bacterial Infections/diagnosis-
dc.subject.MESHGram-Negative Bacterial Infections/microbiology-
dc.subject.MESHGram-Positive Bacterial Infections/diagnosis*-
dc.subject.MESHGram-Positive Bacterial Infections/microbiology*-
dc.subject.MESHGram-Positive Bacterial Infections/mortality-
dc.subject.MESHHumans-
dc.subject.MESHLiver Cirrhosis/diagnosis*-
dc.subject.MESHLiver Cirrhosis/microbiology*-
dc.subject.MESHLiver Cirrhosis/mortality-
dc.subject.MESHLiver Function Tests-
dc.subject.MESHLiver Neoplasms/diagnosis-
dc.subject.MESHLiver Neoplasms/microbiology-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHOdds Ratio-
dc.subject.MESHOrgan Dysfunction Scores-
dc.subject.MESHPeritonitis/diagnosis*-
dc.subject.MESHPeritonitis/microbiology*-
dc.subject.MESHPeritonitis/mortality-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSurvival Rate-
dc.titlePredictive Factors of Spontaneous Bacterial Peritonitis Caused by Gram-Positive Bacteria in Patients With Cirrhosis-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorJung Ho Kim-
dc.contributor.googleauthorYong Duk Jeon-
dc.contributor.googleauthorIn Young Jung-
dc.contributor.googleauthorMi Young Ahn-
dc.contributor.googleauthorHea Won Ahn-
dc.contributor.googleauthorJin Young Ahn-
dc.contributor.googleauthorNam Su Ku-
dc.contributor.googleauthorSang Hoon Han-
dc.contributor.googleauthorJun Yong Choi-
dc.contributor.googleauthorSang Hoon Ahn-
dc.contributor.googleauthorYoung Goo Song-
dc.contributor.googleauthorKwang Hyub Han-
dc.contributor.googleauthorJune Myung Kim-
dc.identifier.doi10.1097/MD.0000000000003489-
dc.contributor.localIdA00189-
dc.contributor.localIdA00953-
dc.contributor.localIdA02037-
dc.contributor.localIdA02226-
dc.contributor.localIdA04191-
dc.contributor.localIdA04268-
dc.contributor.localIdA04286-
dc.relation.journalcodeJ02214-
dc.identifier.eissn1536-5964-
dc.identifier.pmid27124049-
dc.contributor.alternativeNameKu, Nam Su-
dc.contributor.alternativeNameKim, June Myung-
dc.contributor.alternativeNameSong, Young Goo-
dc.contributor.alternativeNameAhn, Sang Hoon-
dc.contributor.alternativeNameChoi, Jun Yong-
dc.contributor.alternativeNameHan, Kwang Hyup-
dc.contributor.alternativeNameHan, Sang Hoon-
dc.contributor.affiliatedAuthorKu, Nam Su-
dc.contributor.affiliatedAuthorKim, June Myung-
dc.contributor.affiliatedAuthorSong, Young Goo-
dc.contributor.affiliatedAuthorAhn, Sang Hoon-
dc.contributor.affiliatedAuthorChoi, Jun Yong-
dc.contributor.affiliatedAuthorHan, Kwang Hyup-
dc.contributor.affiliatedAuthorHan, Sang Hoon-
dc.citation.volume95-
dc.citation.number17-
dc.citation.startPage3489-
dc.identifier.bibliographicCitationMEDICINE, Vol.95(17) : 3489, 2016-
dc.date.modified2017-02-24-
dc.identifier.rimsid47213-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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