Neutrophil to Lymphocyte Ratio as a Predictor for Spontaneous Bacterial Peritonitis in Patients with Cirrhotic Ascites
Al Shwighy, M., Gomaa, A., Alnaggar, Y., Shaker, S. (2022). Neutrophil to Lymphocyte Ratio as a Predictor for Spontaneous Bacterial Peritonitis in Patients with Cirrhotic Ascites. EKB Journal Management System, 28(6.2), 365-373. doi: 10.21608/zumj.2022.143729.2582
Mohamed Mohamed Al Shwighy; Ahmed Fathy Gomaa; Yasser Ahmed Alnaggar; Shady E. Shaker. "Neutrophil to Lymphocyte Ratio as a Predictor for Spontaneous Bacterial Peritonitis in Patients with Cirrhotic Ascites". EKB Journal Management System, 28, 6.2, 2022, 365-373. doi: 10.21608/zumj.2022.143729.2582
Al Shwighy, M., Gomaa, A., Alnaggar, Y., Shaker, S. (2022). 'Neutrophil to Lymphocyte Ratio as a Predictor for Spontaneous Bacterial Peritonitis in Patients with Cirrhotic Ascites', EKB Journal Management System, 28(6.2), pp. 365-373. doi: 10.21608/zumj.2022.143729.2582
Al Shwighy, M., Gomaa, A., Alnaggar, Y., Shaker, S. Neutrophil to Lymphocyte Ratio as a Predictor for Spontaneous Bacterial Peritonitis in Patients with Cirrhotic Ascites. EKB Journal Management System, 2022; 28(6.2): 365-373. doi: 10.21608/zumj.2022.143729.2582

Neutrophil to Lymphocyte Ratio as a Predictor for Spontaneous Bacterial Peritonitis in Patients with Cirrhotic Ascites

Zagazig University Medical Journal
Article 45, Volume 28, Issue 6.2, November 2022, Page 365-373  XML PDF (304.22 K)
Document Type: Original Article
DOI: 10.21608/zumj.2022.143729.2582
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Authors
Mohamed Mohamed Al Shwighy email 1; Ahmed Fathy Gomaa2; Yasser Ahmed Alnaggar3; Shady E. Shakerorcid 4
1Department of Internal Medicine, Al Zawia University, Libya
2Internal medicine,faculty of medicine,zagazig university,Egypt
3Department of Internal Medicine, Zagazig University , Egypt
4Department of Internal Medicine, Zagazig University , Egypt.
Abstract
Background: The most prevalent infection in cirrhotic individuals is spontaneous bacterial peritonitis (SBP). Acute GI bleeding, a history of SBP, or low ascetic fluid protein contents are all risk factors for the development of SBP in cirrhotic individuals. The purpose of this study was to see if the neutrophil-to-lymphocyte ratio (NLR) could predict spontaneous bacterial peritonitis in individuals with liver cirrhosis. Patients and methods: This prospective, case-control and observational study was conducted at Internal Medicine Department, Zigzag University Hospitals during the period from June 2021 to March 2022. The study included 100 cirrhotic patients. The patients were divided into two groups: Group I included 50 cirrhotic patients with SBP (case group) and group II included 50 cirrhotic patients without SBP (control group). Neutrophil to lymphocyte ratio was calculated for all patients. Results: In this study, there was statistically significant difference between the two studied groups in neutrophil count, lymphocyte count and increased neutrophil to lymphocyte ratio (group 1 had increased neutrophils and decreased lymphocytes than group 2). Conclusion: We can conclude the clinical utility of NLR as a biomarker predictive factor in the occurrence of spontaneous bacterial peritonitis (SBP) .
Keywords
Spontaneous bacterial peritonitis; neutrophil-to-lymphocyte ratio; Chronic liver; Neutrophil
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