PARENTE, G. V. U.; LOBO, G. V. P.; OLIVEIRA, J. M.; DE OLIVEIRA, JULIANA MARINHO.; JULIANA MARINHO DE OLIVEIRA.; http://lattes.cnpq.br/3031028425233194; http://lattes.cnpq.br/6605005008736303; MATOS, Ana Paula Rodrigues.; PARENTE, Georgia Veloso Ulisses.; OLIVEIRA, Juliana Marinho de.
Résumé:
Ascites is the accumulation of free fluid from
pathology in the peritoneal cavity. This is the most common complication of cirrhosis.
liver. The management of patients with ascites is largely influenced by
by the results of laboratory tests. OBJECTIVES: Describe the profile
biochemical and cytological analysis of the ascitic fluid of patients with
liver. Estimate the occurrence of spontaneous bacterial peritonitis and quantify
patients who were using antibiotics before the
paracentesis. Correlate the etiologies of liver diseases with the values
from GASA. METHODS: Prospective, cross-sectional, observational study
involving patients with decompensated chronic liver disease and ascites
admitted to the medical clinic ward of HUAC. The data obtained were
organized in Microsoft Office Excel® version 2010 program.
statistical analysis, including frequency distribution, means, standard deviation,
minimum and maximum values, and percentages of the variables under study.
RESULTS: The biochemical and cytological analysis of the ascitic fluid of the
patients showed results similar to those found in the literature. Of the 36
participants, 52.77% (n=19) were screened for EBP and of those, 31.57% (n=6)
were using antibiotics at the time of paracentesis. The diagnosis of
PBE was confirmed in 15.79% (n=3). GASA values were calculated in
50% (n=18) of the patients. Among these, 88.8% (n=16) had GASA ≥ 1.1
g/dL. CONCLUSION: The analysis of the biochemical and cytological profile of the ascitic fluid,
as well as the number of cases of SBP diagnosed was compatible with the
described in other studies. The indiscriminate use of antibiotics may underestimate
the number of patients with SBP, in addition to increasing resistance to these
medicines. GASA results were compatible with the presence of
portal hypertension, a mechanism present in the etiologies found.