Spontaneous bacterial peritonitis other diagnostic studies: Difference between revisions
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==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
Other emerging diagnostic tests used for the diagnosis of SBP include: | Other emerging diagnostic tests used for the diagnosis of SBP include: | ||
* Procalcitonin.<ref name="YuanKe2013">{{cite journal|last1=Yuan|first1=Le-Yong|last2=Ke|first2=Zun-Qiong|last3=Wang|first3=Ming|last4=Li|first4=Yan|title=Procalcitonin and C-Reactive Protein in the Diagnosis and Prediction of Spontaneous Bacterial Peritonitis Associated With Chronic Severe Hepatitis B|journal=Annals of Laboratory Medicine|volume=33|issue=6|year=2013|pages=449|issn=2234-3806|doi=10.3343/alm.2013.33.6.449}}</ref> | * Procalcitonin.<ref name="YuanKe2013">{{cite journal|last1=Yuan|first1=Le-Yong|last2=Ke|first2=Zun-Qiong|last3=Wang|first3=Ming|last4=Li|first4=Yan|title=Procalcitonin and C-Reactive Protein in the Diagnosis and Prediction of Spontaneous Bacterial Peritonitis Associated With Chronic Severe Hepatitis B|journal=Annals of Laboratory Medicine|volume=33|issue=6|year=2013|pages=449|issn=2234-3806|doi=10.3343/alm.2013.33.6.449}}</ref><ref name="pmid23159389">{{cite journal| author=Su DH, Zhuo C, Liao K, Cheng WB, Cheng H, Zhao XF| title=Value of serum procalcitonin levels in predicting spontaneous bacterial peritonitis. | journal=Hepatogastroenterology | year= 2013 | volume= 60 | issue= 124 | pages= 641-6 | pmid=23159389 | doi=10.5754/hge12645 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23159389 }} </ref> | ||
A value < 0.5 ng/ml rules out SBP.Highly sensitive. | A value < 0.5 ng/ml rules out SBP.Highly sensitive. | ||
* Assessment of Neutrophil gelatinase-associated lipocalin ( NGAL) in peritoneal fluid.<ref name="LippiCaleffi2013">{{cite journal|last1=Lippi|first1=Giuseppe|last2=Caleffi|first2=Alberta|last3=Pipitone|first3=Silvia|last4=Elia|first4=Gianfranco|last5=Ngah|first5=Anna|last6=Aloe|first6=Rosalia|last7=Avanzini|first7=Paola|last8=Ferrari|first8=Carlo|title=Assessment of neutrophil gelatinase-associated lipocalin and lactate dehydrogenase in peritoneal fluids for the screening of bacterial peritonitis|journal=Clinica Chimica Acta|volume=418|year=2013|pages=59–62|issn=00098981|doi=10.1016/j.cca.2012.12.020}}</ref><ref name="pmid22652747">{{cite journal| author=Martino FK, Filippi I, Giavarina D, Kaushik M, Rodighiero MP, Crepaldi C et al.| title=Neutrophil gelatinase-associated lipocalin in the early diagnosis of peritonitis: the case of neutrophil gelatinase-associated lipocalin. | journal=Contrib Nephrol | year= 2012 | volume= 178 | issue= | pages= 258-63 | pmid=22652747 | doi=10.1159/000337888 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22652747 }} </ref> | * Assessment of Neutrophil gelatinase-associated lipocalin ( NGAL) in peritoneal fluid.<ref name="LippiCaleffi2013">{{cite journal|last1=Lippi|first1=Giuseppe|last2=Caleffi|first2=Alberta|last3=Pipitone|first3=Silvia|last4=Elia|first4=Gianfranco|last5=Ngah|first5=Anna|last6=Aloe|first6=Rosalia|last7=Avanzini|first7=Paola|last8=Ferrari|first8=Carlo|title=Assessment of neutrophil gelatinase-associated lipocalin and lactate dehydrogenase in peritoneal fluids for the screening of bacterial peritonitis|journal=Clinica Chimica Acta|volume=418|year=2013|pages=59–62|issn=00098981|doi=10.1016/j.cca.2012.12.020}}</ref><ref name="pmid22652747">{{cite journal| author=Martino FK, Filippi I, Giavarina D, Kaushik M, Rodighiero MP, Crepaldi C et al.| title=Neutrophil gelatinase-associated lipocalin in the early diagnosis of peritonitis: the case of neutrophil gelatinase-associated lipocalin. | journal=Contrib Nephrol | year= 2012 | volume= 178 | issue= | pages= 258-63 | pmid=22652747 | doi=10.1159/000337888 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22652747 }} </ref> |
Revision as of 21:27, 2 February 2017
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Overview
Some emerging tests may provide a significant contribution to the diagnosis and therapeutic management of SBP although current laboratory diagnosis of SBP entail a limited number of conventional investigations, like ascitic fluid PMN count and culture.
Other Diagnostic Studies
Other emerging diagnostic tests used for the diagnosis of SBP include:
A value < 0.5 ng/ml rules out SBP.Highly sensitive.
- Assessment of Neutrophil gelatinase-associated lipocalin ( NGAL) in peritoneal fluid.[3][4]
- Amylase.
- C reactive protein.[1]
- Assessment of bacterial DNA in ascitic fluid by nucleic acid amplification.
References
- ↑ 1.0 1.1 Yuan, Le-Yong; Ke, Zun-Qiong; Wang, Ming; Li, Yan (2013). "Procalcitonin and C-Reactive Protein in the Diagnosis and Prediction of Spontaneous Bacterial Peritonitis Associated With Chronic Severe Hepatitis B". Annals of Laboratory Medicine. 33 (6): 449. doi:10.3343/alm.2013.33.6.449. ISSN 2234-3806.
- ↑ Su DH, Zhuo C, Liao K, Cheng WB, Cheng H, Zhao XF (2013). "Value of serum procalcitonin levels in predicting spontaneous bacterial peritonitis". Hepatogastroenterology. 60 (124): 641–6. doi:10.5754/hge12645. PMID 23159389.
- ↑ Lippi, Giuseppe; Caleffi, Alberta; Pipitone, Silvia; Elia, Gianfranco; Ngah, Anna; Aloe, Rosalia; Avanzini, Paola; Ferrari, Carlo (2013). "Assessment of neutrophil gelatinase-associated lipocalin and lactate dehydrogenase in peritoneal fluids for the screening of bacterial peritonitis". Clinica Chimica Acta. 418: 59–62. doi:10.1016/j.cca.2012.12.020. ISSN 0009-8981.
- ↑ Martino FK, Filippi I, Giavarina D, Kaushik M, Rodighiero MP, Crepaldi C; et al. (2012). "Neutrophil gelatinase-associated lipocalin in the early diagnosis of peritonitis: the case of neutrophil gelatinase-associated lipocalin". Contrib Nephrol. 178: 258–63. doi:10.1159/000337888. PMID 22652747.