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. 2014 Apr;36(4):182-7.
doi: 10.1590/s0100-7203201400040004.

[Impact of training about cervical cancer screening on health professionals working in basic health care units]

[Article in Portuguese]
Ariadne Ferreira Amaral  1 , Eduardo Silva Araújo  2 , Juliana Cristina Magalhães  2 , Erika Aparecida Silveira  1 , Suelene Brito do Nascimento Tavares  3 , Rita Goreti Amaral  2
Affiliations

[Impact of training about cervical cancer screening on health professionals working in basic health care units]

[Article in Portuguese]
Ariadne Ferreira Amaral et al. Rev Bras Ginecol Obstet. 2014 Apr.

Abstract

CONTEXT AND OBJECTIVE:: Spontaneous bacterial peritonitis (SBP) is a severe complication that occurs in 8-27% of hospitalized patients with liver cirrhosis and ascites, with high mortality rates. This study aimed to identify the clinical characteristics associated with SBP.

DESIGN AND SETTING:: Cross-sectional study, conducted in a public university.

METHODS:: The study consecutively included individuals with liver cirrhosis and ascites between September 2009 and March 2012. Forty-five patients were included: mean age 53.2 ± 12.3 years, 82.2% male, 73.8% Caucasian, mean Model of End-stage Liver Disease (MELD) score of 19.5 ± 7.2, and 33.3% with SBP. The subjects were divided into two groups: SBP and controls.

RESULTS:: Comparison between individuals with SBP and controls showed that those with SBP had lower mean prothrombin activity time (36.1 ± 16.0% versus 47.1 ± 17.2%; P = 0.044) and lower median serum-ascites albumin gradient (SAAG) (1.2 versus 1.7, P = 0.045). There was a tendency towards higher mean MELD in the SBP group, not significant (22.2 ± 7.6 versus 17.9 ± 6.7; P = 0.067). There was a strong positive correlation between the neutrophil count in ascitic fluid and serum leukocyte count (r = 0.501; P = 0.001) and a negative correlation between the neutrophil count in ascitic fluid with prothrombin activity time (r = -0.385; P = 0.011).

CONCLUSION:: A few characteristics are associated with the presence of SBP, especially liver dysfunction, SAAG and peripheral leukocytosis.

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Conflict of interest statement

Conflict of interest: None

Figures

Figure 1
Figure 1. Flowchart of potential candidates for inclusion in the study, application of exclusion criteria and individuals included.
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