DOI: 10.36347/sjams.2019.v07i01.075

Pages: 410-418

Background: Chronic liver disease (CLD) is not uncommon in Bangladesh. Ascites is common feature of CLD patients. Ascites is a culture media for bacterial infection. Spontaneous bacterial peritonitis is a frequent complication of ascites in children with chronic liver disease. The rapid and effective diagnosis of peritonitis will reduce mortality. Aim: The aim of this study is to see the variants of ascitic fluid infection in children with chronic liver disease. Methods: It is a cross sectional observational study. This study was conducted at the department of Pediatric Gastroenterology and Nutrition, BSMMU, Dhaka, Bangladesh without interrupting standard care practiced in the department. The study was done over a period of one & half year, from January 2016 through July 2017. During this period consecutive children CLD with ascites were included in this study. Sample was collected purposively who was fulfilling inclusion criteria. The details history, physical examination findings and investigation reports were recorded in a predesigned standard data sheet. History was obtained directly from the parents, which include jaundice, abdominal pain, fever, diarrhea, family history of liver diseases or other relevant medical histories. Investigations were done for diagnosis of chronic liver disease & identify the cause. Ascitic fluid study especially physical appearance, cytology, total protein, LDH, Gram stain & culture were done in all case. Statistical analysis was done using Statistical Package for Social Science 20.0 (SPSS; Chicago, Illinois) for Windows XP. Results: A total of 30 children were selected according to selection criteria.