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Clinical-epidemiological characterization of adults with decompensed liver cirrhosis due to infectious pathology; hospital Vicente Corral Moscoso, Cuenca - Ecuador

Abstract:

Introduction: cirrhosis is the most common liver disease, associated with high mortality and numerous complications, including infectious what involve diagnostic and therapeutic challenges that increase mortality by 30% - 75%. Objective: to characterize clinically and epidemiologically adult patients with decompensated liver cirrhosis due to infectious pathologies. Vicente Corral Moscoso Hospital, Cuenca - Ecuador. Materials and Methods: descriptive, retrospective, cross-sectional. 40 cases of patients (50% men and 50% women) aged between 66 and 100 years were studied. Frequencies and percentages were established for the variables. Results: the most common etiology of cirrhosis was alcoholic (67.5%), the most frequent Child-Pugh scale was C (65%), the most frequent infections were: urinary tract infection (54.09%), community-acquired pneumonia (18.03%), spontaneous bacterial peritonitis (8.19%), acute gastroenteritis (6.55%) and soft tissue infection (4.91%). The most common clinical presentation was altered state of consciousness and the main pathogen was Escherichia coli. Conclusions: the most frequent etiology of cirrhosis was alcoholic and its decompensation due to infectious causes affects men and women equally. The most common infections were: urinary tract infection, community-acquired pneumonia, spontaneous bacterial peritonitis, acute gastroenteritis, and soft tissue infection. The main bacteria involved was Escherichia coli.