Clinical course and short‐term mortality of cirrhotic patients with infections other than spontaneous bacterial peritonitis

• DOI: 10.1111/liv.13239
• Publication Date: 2016-08-25T08:03:11Z
• Authors: Javier Fernández; Juan Acevedo; Verónica Prado; Mario Mercado; Miriam Castro; Marco Pavesi; Mireya Arteaga; Lydia Sastre; Adria Juanola; Pere Ginès; Vicente Arroyo
• Keywords: Spontaneous bacterial peritonitis

Abstract Background & Aims Clinical course and risk factors of death in non‐spontaneous bacterial peritonitis ( SBP ) infections are poorly known. We assessed the prevalence acute kidney injury AKI type‐1 hepatorenal syndrome HRS ), hospital, 30‐day 90‐day mortality 441 decompensated patients. Methods Analysis 615 non‐ (161 urinary UTI 95 cellulitis, 92 suspected infections, bacteraemias, 84 pneumonias, 21 bronchitis, 18 cholangitis, 15 spontaneous empyema, 13 secondary peritonitis, 24 other). Results Ninety‐six percent solved. were developed 37% 9% respectively. Overall rates 11%, 12% 18% differed markedly across infections. Endocarditis, osteoarticular pneumonia, bacteraemia, showed higher . Prevalence was not significantly different among pneumonia bacteraemia lower renal impairment resolution hospital associated with (42% vs 12%, P <.0001) or (71% 27%, =.003) than rest Age (HR: 1.04), serum sodium 0.91), bilirubin 1.06), INR 1.91), hepatic encephalopathy 2.44), ascites 3.06) multidrug‐resistant isolation 2.27) at infection diagnosis independent predictors during hospitalization. Conclusions Non‐ constitute a heterogeneous group regarding clinical prognosis. show worse The combination data liver dysfunction type allows identification patients poor