Cirrhosis, Infection, Liquid of Ascites
Conditions
Brief summary
The forecast of the spontaneous infection of the liquid of ascites (ISLA) at the cirrhotic patient is still burdened by a heavy mortality. The fast diagnosis of the ISLA is thus an essential stake to improve the forecast. Investigators would so like to estimate the interest of the strip PeriScreen for the fast diagnosis of the ISLA at cirrhotic patients . Investigators plan to include 670 patients, what would allow to make out a will at least on ascites 2000 on about twenty centers for duration estimated of 12 months.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female over 18 years * Presence of ascites due to cirrhosis * Hospitalization for a complication of cirrhosis (ascites first decompensation, gastrointestinal bleeding, encephalopathy, etc ...). or * Hospitalization to perform a paracentesis evacuated outpatient * Patients on long-term antibiotic primary or secondary prophylaxis the spontaneous bacterial peritonitis and with clinical and/or biological signs that suggest spontaneous infection of ascite.
Exclusion criteria
* Patients with ascites urgently admitted to hospital for suspected infection receiving antibiotics for more than 12 hours. * chylous ascites, * Hemorrhagic Ascites * Biliary Ascites (straw) * Ascites heterogeneous appearance * Ascites not related to portal hypertension (peritoneal carcinomatosis, pancreatic ascites, tuberculosis, etc ...) * Patient receiving imipenem IV. * Patients on long-term antibiotic primary or secondary prophylaxis the spontaneous bacterial peritonitis without clinical and/or biological signs that suggest spontaneous infection of ascite.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity and Specificity | Baseline | Comparaison of Periscreen strip whith "Trace" threshold to the cytological analysis, |
Countries
Belgium, France
Contacts
CHD Vendée La Roche sur Yon
Participant flow
Recruitment details
Overall, 649 patients from 21 French centers were included and 1422 Ascitic fluid of cirrothic patients hospitalized were assed.
Pre-assignment details
803 Ascitic fluid samples from 315 outpatients and 599 samples from 334 inpatients.
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 61.3 years STANDARD_DEVIATION 10.4 |
| Sex: Female, Male Female | 150 Participants |
| Sex: Female, Male Male | 499 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 649 |
| other Total, other adverse events | 0 / 649 |
| serious Total, serious adverse events | 0 / 649 |