Peritonitis bacteriana espontánea en cirróticos
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2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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Objetivo: El presente trabajo de investigación tiene como objetivo establecer las características clínicas más prevalentes en los pacientes cirróticos diagnosticados con peritonitis bacteriana espontánea en el hospital de cuarto nivel Luis Vernaza de Guayaquil durante el periodo de marzo 2018 a marzo 2019. Métodos: Se hizo la revisión y análisis de la base de datos estadísticos del hospital en conjunto con las historias clínicas, se tabularon los datos en Excel. Resultados: el 62.7% de los pacientes fueron hombres, el grupo etario predominante fue de 50-59 años, los signos y síntomas más comunes fueron el dolor abdominal y el estado mental alterado. Se encontró crecimiento bacteriano positivo en el 28,4% de los cultivos y la bacteria más comúnmente aislada fue la Escherichia coli. El 49,3% de los pacientes tenían un grado de insuficiencia hepática avanzada figurando en la clase B de Child-Pugh, y permanecieron un tiempo medio de 24±15 días ingresados. Conclusiones: La peritonitis bacteriana espontánea en nuestra población afecta principalmente a varones entre la quinta y sexta década de vida, con insuficiencia hepática avanzada y da como resultado una larga estancia hospitalaria. Las bacterias causantes son en su mayoría gran negativas por lo que aún la prevalencia de estas bacterias no ha disminuido con respecto a las gran positivas, como se muestra en otros estudios.
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Objective: The objective of this research work is to establish the most prevalent clinical characteristics in cirrhotic patients diagnosed with spontaneous bacterial peritonitis at the Luis Vernaza fourth level hospital in Guayaquil during the period from March 2018 to March 2019. Methods: The database of the hospital together with the medical records were reviewed and analyzed, the data was tabulated using the Excel spreadsheets. Results: 62.7% of the patients were men, the predominant age group was 50-59 years, the signs and symptoms that most affected the patients were abdominal pain and altered mental status. Positive bacterial growth was found in 28.4% of the cultures and the most isolated bacteria was Escherichia coli. 49.3% of the patients had a degree of advanced liver failure appearing in Child-Pugh class B, and they remained hospitalized for a mean time of 24 ± 15 days. Conclusions: Spontaneous bacterial peritonitis in our population mainly affects males between the fifth and sixth decade of life, with advanced liver failure and results in a long hospital stay. The causative bacteria are mostly gram-negative, so the prevalence of these bacteria has not decreased compared to the gram-positive ones, as shown in other studies.
Objective: The objective of this research work is to establish the most prevalent clinical characteristics in cirrhotic patients diagnosed with spontaneous bacterial peritonitis at the Luis Vernaza fourth level hospital in Guayaquil during the period from March 2018 to March 2019. Methods: The database of the hospital together with the medical records were reviewed and analyzed, the data was tabulated using the Excel spreadsheets. Results: 62.7% of the patients were men, the predominant age group was 50-59 years, the signs and symptoms that most affected the patients were abdominal pain and altered mental status. Positive bacterial growth was found in 28.4% of the cultures and the most isolated bacteria was Escherichia coli. 49.3% of the patients had a degree of advanced liver failure appearing in Child-Pugh class B, and they remained hospitalized for a mean time of 24 ± 15 days. Conclusions: Spontaneous bacterial peritonitis in our population mainly affects males between the fifth and sixth decade of life, with advanced liver failure and results in a long hospital stay. The causative bacteria are mostly gram-negative, so the prevalence of these bacteria has not decreased compared to the gram-positive ones, as shown in other studies.
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Peritonitis, Bacterias, Cirrosis hepática, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador