Evidence map›Paper›PMID 25848460›Full record

ReviewWorld journal of hepatology2015

Spontaneous bacterial peritonitis: The clinical challenge of a leaky gut and a cirrhotic liver.

Philipp Lutz, Hans Dieter Nischalke, Christian P Strassburg, Ulrich Spengler

Open access · diamondAbstract readReview
In one paragraph

Review in World journal of hepatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Circulating Microbiota in Cardiometabolic Disease.Frontiers in cellular and infection microbiology · 2022
    Review
  9. Article
  10. Amyloid A in Serum and Ascitic Fluid as a Novel Diagnostic Marker of Spontaneous Bacterial Peritonitis.Anti-inflammatory & anti-allergy agents in medicinal chemistry · 2020
    Article
  11. Article
  12. Article
  13. Predictors of Spontaneous Bacterial Peritonitis in Patients with Cirrhotic Ascites.Journal of clinical and translational hepatology · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Bacterial translocation aggravates CClScientific reports · 2017
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Philipp LutzPhilipp Lutz, Hans Dieter Nischalke, Christian P Strassburg, Ulrich Spengler, Department of Internal Medicine I, University of Bonn, D-53129 Bonn, Germany.
Hans Dieter NischalkePhilipp Lutz, Hans Dieter Nischalke, Christian P Strassburg, Ulrich Spengler, Department of Internal Medicine I, University of Bonn, D-53129 Bonn, Germany.
Christian P StrassburgPhilipp Lutz, Hans Dieter Nischalke, Christian P Strassburg, Ulrich Spengler, Department of Internal Medicine I, University of Bonn, D-53129 Bonn, Germany.
Ulrich SpenglerPhilipp Lutz, Hans Dieter Nischalke, Christian P Strassburg, Ulrich Spengler, Department of Internal Medicine I, University of Bonn, D-53129 Bonn, Germany.
University of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous bacterial peritonitis (SBP) is a frequent, life-threatening bacterial infection in patients with liver cirrhosis and ascites. Portal hypertension leads to increased bacterial translocation from the intestine. Failure to eliminate invading pathogens due to immune defects associated with advanced liver disease on the background of genetic predisposition may result in SBP. The efficacy of antibiotic treatment and prophylaxis has declined due to the spread of multi-resistant bacteria. Patients with nosocomial SBP and with prior antibiotic treatment are at a particularly high risk for infection with resistant bacteria. Therefore, it is important to adapt empirical treatment to these risk factors and to the local resistance profile. Rifaximin, an oral, non-absorbable antibiotic, has been proposed to prevent SBP, but may be useful only in a subset of patients. Since novel antibiotic classes are lacking, we have to develop prophylactic strategies which do not induce bacterial resistance. Farnesoid X receptor agonists may be a candidate, but so far, clinical studies are not available. New diagnostic tests which can be carried out quickly at the patient's site and provide additional prognostic information would be helpful. Furthermore, we need tools to predict antibiotic resistance in order to tailor first-line antibiotic treatment of spontaneous bacterial peritonitis to the individual patient and to reduce mortality.

Indexed as

AscitesCirrhosisFarnesoid X receptorLiverNucleotide-binding oligomerization domain containing 2ProphylaxisRifaximinSpontaneous bacterial peritonitisToll-like receptor 2

Identifiers

PMID25848460
PMCPMC4381159
OpenAlexW2111963304

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.