Mortality _ prevention and health care of bacterial peritonitis patient of spontaneity in the liver transplantation ward

Mortality _ prevention and health care of bacterial peritonitis patient of spontaneity in the liver transplantation ward
According to the intersection of " the clinical microbiolody and infect " and magazine report that publish June, the mortality of the hepatopathy patient has not increased within the past 10 years to appear in the end latter stage of bacterial peritonitis of spontaneity.

In this research, Dr. Singh of U.S.A. and his colleague bacterial peritonitis (SBP) of spontaneity Whether the patient's pathogenic antimicrobial tolerance and prognosis changed over time to measure. Research group assess 61 hepatopathy accept the intersection of SBP and patient that liver transplantation appraise because of latter stage such as end continuously. They divide the patient into 2 groups: The group from 1991 to 1995, group from 1996 to 2001.

Researchers find, 19% of the bacteria have multiple antibiotic that is able to bear nature. Multiple antibiotic of the bacterium is able to bear nature being raised to 39% of the group of later period from 8% of the early group. The patient, mortality is 26% in 30 days. There is no difference in the mortality of 2 periods.

The research group still confirms, the mortality that multiple antibiotic is able to bear the bacterial infection patient of nature is higher than the infeted of other bacteria notably. But Child-Pugh grade only and kidney decline it is independence of mortality, patient of SBP, that predict the index notably.

nbspSingh doctor thinks, " the mortality of the hepatopathy patient has no change within the past 10 years in end latter stage that SBP happen. Though multiple antibiotic of the bacterium is able to bear nature to lead to the fact there is more and more SBP, but the severity of the liver renal function obstacle is the main decisive factor of these patients prognosis. "
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