Ascites, Cirrhosis, Infections
Conditions
Keywords
Cirrhosis, Ascites, Lipopolysaccharide binding protein, Infections, Cytokines, Ciprofloxacin
Brief summary
The purpose of this study is to determine whether plasma levels of lipopolysaccharide binding protein (LBP) are correlated with PBMN pro- and anti-inflammatory cytokine secretion, as well as with the development of severe infectious events in cirrhotic patients with ascites. As a secondary purpose, the study will evaluate the effect of a prophylactic administration of ciprofloxacin on LBP, cytokines and infections in the same patients.
Interventions
Ciprofloxacin oral, 500 mg capsules, one capsule per day during four weeks.
Placebo capsules, one capsule per day during four weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Cirrhosis * Ascites * No history of spontaneous bacterial peritonitis and/or \< 1 g of protein in ascites * No antibiotic use in previous 6 weeks * Absence of infection (documented by clinical history, blood cytology, urinalysis and urine culture, thorax x-ray and paracentesis) * Absence of GI bleeding or encephalopathy * Signature of informed consent
Exclusion criteria
* Ciprofloxacin contraindication * Autoimmune hepatitis, sclerosing cholangitis or other autoimmune disease * \> 13 Child-Pugh points * Inability to attend to regular visits * Current alcohol intake * Terminal disease with \< 24 week expected survival
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lipopolysaccharide binding protein plasma levels | 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Severe infection | 24 weeks |
| Pro- and anti-inflammatory cytokine secretion by PBMN cells | 24 weeks |
Countries
Mexico