SAT-150 ACUTE KIDNEY INJURY IN CRITICALLY ILL PATIENTS IN A SOUTH AFRICAN TERTIARY INTENSIVE CARE UNIT

摘要

Spontaneous bacterial peritonitis (SBP) occurs in 10-30% of cirrhotic patients and is associated with high mortality rate in this vulnerable population. It is associated with high incidence of acute kidney injury (AKI) and hepatorenal syndrome (HRS), and large number of nephrological input is been sought from our medicine and hepatology section colleagues. In a low to lower middle income country where avail- ability of resources remain a big hurdle, newer therapeutic options with Jess use of interventions are always been sought. The case is also true for the developed world where healthcare related costs needs to be cut down. Large volume paracentesis (LVP) decreases the burden of infective fluid. Outcomes of LVP in SBP patients has not been clearly addressed in previous studies. Furthermore, in the absence of more viable therapeutic options for preventing kidney impairment in SBP, the management really looms around time and need for renal replacement therapy (RRT). This study will assess the outcome of LVP in patients with SBP, both in terms of mortality, length of stay and effect on renal function.