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  • Title: [Bacteremia in the patient with liver cirrhosis. Prospective study of 61 episodes].
    Author: Aloy Duch A, Espejo Arenas E, Mauri Pont M, García Restoy E, Simó Sanahuja M, Bella Cueto F.
    Journal: Enferm Infecc Microbiol Clin; 1990 Nov; 8(9):540-3. PubMed ID: 2099853.
    Abstract:
    We prospectively evaluated 61 episodes of bacteremia in 54 patients with hepatic cirrhosis, representing 9% of the overall number of bacteremic episodes in adult patients seen in our center during the study period. Spontaneous bacteremia represented 46% of all episodes (virtually always in patients with ascites), followed by the urinary origin (30%). Gram negative organisms were isolated in 71% of episodes. 43% of these were hospital-acquired 25% of patients had spontaneous peritonitis. Among other complications of bacteremia there were shock (28%), renal failure (24%), and disseminated intravascular coagulation (6%). The mortality rate due to sepsis was 28%, that due to complications of cirrhosis by itself was 20%, and that of nonrelated diseases was 8%. Shock and renal failure secondary to bacteremia were independent predictors of a poor prognosis.
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