End Stage Liver Disease, Infection
Conditions
Brief summary
The term of End Stage of Liver Disease (ESLD) was raised in 80's of 20 Century, but without a restrict definition. Infections are the cause and effect in occurrence and development of ESLD, which not only induce or exacerbate ESLD, but also are the most combined complication. Multi-resistant bacteria, multi-organ injury, selection of anti-microbes, supporting treatment, disorder of intestine microbiota, et al are dilemma in clinical practice. Appropriate and formal diagnosis and treatment of ESLD combined infection are imperious nowadays.
Interventions
This is an observation study, no specific antibiotics will be indicated during treatment
Sponsors
Study design
Eligibility
Inclusion criteria
Decompensation of liver cirrhosis: 1. ALB \<35 g / L; A / G \<1.0 2. TBIL\> 35μmol / L; 3. ALT\> 1 × ULN and / or AST\> 1 × ULN 4. PTA \<60% 5. Ascites or hepatic encephalopathy or esophageal variceal bleeding Acute-on-chronic liver failure: 1. Chronic liver disease based on: chronic hepatitis or decompensated cirrhosis 2. onset time: \<4 weeks 3. Hepatic encephalopathy: with or without 4. Coagulation: PTA ≤ 40% or INR ≥ 1.5 5. Jaundice: TBIL ≥ 171μmol / L or daily increase ≥ 17.1μmol / L Chronic liver failure: 1. The basis of chronic liver disease: decompensated cirrhosis 2. onset time: - 3. Hepatic encephalopathy: with or without 4. Coagulation: PTA ≤ 40% or INR ≥ 1.5 Jaundice: significantly higher
Exclusion criteria
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Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete response rate to empirical antibiotic treatment | 6 months | The percentage of patients who achieved complete recovery from combined infection after empirical antibiotic treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Non-liver transplant survival | 6 months | Non-liver transplant survival rate at 30 days, 60 days and 6 months after empirical antibiotic treatment |
| Hospitalization time | 6 months | Days of hospitalization after empirical antibiotic treatment |
Countries
China