Gut Liver.  2009 Dec;3(4):292-297.

Renal Dysfunction Induced by Bacterial Infection other than Spontaneous Bacterial Peritonitis in Patients with Cirrhosis: Incidence and Risk Factor

• Kim JH
• Lee JS
• Lee SH
• Bae WK
• Kim NH
• Kim KA
• Moon YS

Abstract

BACKGROUND/AIMS
Deterioration of renal function in cirrhotic patients with spontaneous bacterial peritonitis (SBP) is a predictor for in-hospital mortality; however, the clinical significance of renal dysfunction during bacterial infection other than SBP is unknown. The aim of this study was to investigate the prevalence and clinical significance of renal dysfunction due to bacterial infections other than SBP in patients with liver cirrhosis. METHODS: Retrospective data from inpatients with bacterial infections other than SBP were analyzed. RESULTS: Eighty patients were recruited for the analysis. The types of infections included that of urinary tract (37.5%), pneumonia (23.8%), biliary tract (20%), cellulitis (12.5%), and bacteremia of unknown origin (6.3%). Renal dysfunction developed in 29 patients (36.3%), of which 11 patients had irreversible renal dysfunction. The initial MELD score, neutrophil count, albumin, and blood pressure were significant risk factors in the univariate analysis, whereas only the MELD score was an independent risk factor for the development of renal dysfunction (p<0.001) after multivariate analysis. CONCLUSIONS: The prevalence of renal dysfunction during bacterial infection other than SBP in patients with liver cirrhosis was 36.3%, and its development was related to the severity of the liver disease. Occurrence of irreversible renal dysfunction seemed to affect the prognosis of these patients.

Keyword

Liver cirrhosis; Bacterial infection; Renal dysfunction

MeSH Terms

Bacteremia
Bacterial Infections
Biliary Tract
Blood Pressure
Cellulitis
Humans
Incidence
Inpatients
Liver Cirrhosis
Liver Diseases
Multivariate Analysis
Neutrophils
Peritonitis
Pneumonia
Prevalence
Prognosis
Retrospective Studies
Risk Factors
Urinary Tract