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The standard recommended management of spontaneous bacterial peritonitis (SBP) includes a third-generation cephalosporin (cefotaxime or ceftriaxone) and high dose albumin (1.5g/kg on day 1 and 1g/kg on day 3). The major drawback of the current recommendations is the high price of albumin. In the current randomized control trial investigators compared the effect of standard recommended dose of albumin (1.5g/kg on day 1 and 1g/kg on day 3) vs. low dose (20g/d for 5 days) on the resolution of SBP and subsequent cytokine changes in ascitic fluid and blood.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| STANDARD DOSE | Active Comparator | Albumin 1.5gm/kg on day 1 and 1gm/kg on day 3 |
|
| LOW DOSE | Placebo Comparator | Albumin 20g/d for 5 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ALBUMIN | Drug | Albumin in two different doses |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in neutrophils/mm in ascitic fluid | 3 days | |
| Change in IL-6, IL-1, TNF in ascitic fluid and serum between the two groups | 5 days |
| Measure | Description | Time Frame |
|---|---|---|
| Survival in days at the end of therapy | 5 days | |
| Differences in frequency of sepsis, renal failure and other organ failures between the two groups | 5 days |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D005355 | Fibrosis |
| D006509 | Hepatitis B |
| D014648 | Varicose Veins |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
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| ID | Term |
|---|---|
| D000418 | Albumins |
| ID | Term |
|---|---|
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
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| D007239 | Infections |
| D018347 | Hepadnaviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D006525 | Hepatitis, Viral, Human |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |