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Related Experiment Video

Updated: Mar 16, 2026

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A quick screening model for symptomatic bacterascites in cirrhosis.

Long-Chuan Zhu1, Long Xu2, Wen-Hua He3

  • 1Department of Digestion, The First Affiliated Hospital of Nanchang University; Department of Hepatology, Infectious Disease Hospital of Nanchang University, Jiangxi, China.

Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
|August 5, 2016
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Summary

A new model quickly screens for symptomatic bacterascites in cirrhosis patients. A score of 0.328 or higher suggests this infection, aiding early diagnosis when polymorphonuclear leukocyte counts are low.

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Clinical Diagnostics

Background:

  • Spontaneous bacterial peritonitis (SBP) diagnosis requires ascites polymorphonuclear leukocyte (PMN) count ≥250/mm³.
  • Symptomatic bacterascites, a variant of SBP with infection signs but PMN <250/mm³, lacks rapid diagnostic indicators.
  • Current confirmation of symptomatic bacterascites relies on slow ascites cultures.

Purpose of the Study:

  • To develop a rapid screening model for early detection of symptomatic bacterascites in cirrhosis patients.
  • To identify key clinical and laboratory parameters for predicting symptomatic bacterascites.
  • To improve diagnostic timeliness for this serious complication of cirrhosis.

Main Methods:

  • Retrospective analysis of cirrhotic ascites patients from two hospitals (2010-2014).
  • Comparison of patients with symptomatic bacterascites (case group) versus those without infection (control group).
  • Logistic regression and receiver operating characteristic (ROC) curve analysis to develop and assess the screening model.

Main Results:

  • The study included 103 patients in the case group and 204 in the control group.
  • A screening model was developed using body temperature, abdominal tenderness, blood neutrophil percentage, total bilirubin, prothrombin time, and ascites nucleated cell count.
  • The model achieved an area under the ROC curve of 0.939, with an optimal cutoff score of 0.328.

Conclusions:

  • The developed model provides a quick screening tool for suspected symptomatic bacterascites.
  • A screening score of 0.328 or higher effectively indicates symptomatic bacterascites.
  • This model can facilitate earlier identification and management of symptomatic bacterascites in cirrhosis.