Spontaneous Bacterial Peritonitis
Conditions
Brief summary
the study is to evaluate the possible efficacy and safety of nitazoxanide as an adjuvant therapy in the secondary prevention of SBP in patient with cirrhosis.
Detailed description
due to high recurrence rate of spontaneous bacterial peritonitis , we will study and evaluate the possible efficacy and safety of NTZ as an adjuvant therapy in the secondary prevention of SBP in patient with cirrhosis.
Interventions
nitazoxanide adjuvant to standard therapy
Standard therapy
Sponsors
Study design
Intervention model description
Randomized Double-Blind Placebo-Controlled study
Eligibility
Inclusion criteria
* Patients aged 21 - 65 years old with cirrhosis and ascites who had at least one previous confirmed episode of spontaneous bacterial peritonitis.
Exclusion criteria
*
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevention of Secondary Spontaneous Bacterial Peritonitis | 3 months | Reduction in incidence of secondary Spontaneous Bacterial Peritonitis (SBP) compared to control group |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Biological Biomarkers | 3 months | Measurement of Tumor necrosis factor alfa , Procalcitonin(PCT), C-Reactive protein(CRP) and Erythrocyte sedimentation rate(ESR) with further calculation of PEC index \[PEC index = PCT × (ESR + CRP)\] before and after trial period |