Ascites Calprotectin

Spontaneous bacterial peritonitis (SBP) is an acute bacterial infection of ascitic fluid. It primarily occurs in patients with advanced cirrhosis and, generally, no source of the infecting agent is easily identifiable.

Fever, abdominal pain, altered mental status, abdominal tenderness, or hypotension in cirrhosis cases indicates SBP. In addition, patients with ascites admitted to the hospital for other reasons should undergo paracentesis to look for evidence of SBP.

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Does NSAID use affect the Faecal Calprotectin Result?

In a word – yes!

Is this clinically significant? in another word, no!

Most non-steroidal anti-inflammatory drugs (NSAID) cause gastric damage in short-term volunteer studies, ranging from erythema to ulcers. Recent estimates suggest that gastrointestinal (GI) bleeding attributable to nonselective NSAID accounts for nearly 34% of all GI bleeding cases (mostly upper GI bleeding) in the US and may have resulted in over 32,000 hospitalisations per year during the last decade.

Faecal calprotectin—ready for prime time?

Introduction Calprotectin is a heterodimer of calcium-binding proteins which belongs to the S-100 protein family. It is released from neutrophils and monocytes during cellular activation (or death) at sites of active inflammation, and accounts for upto 60% of the cytosolic protein in the granules of these cells. It is a highly stable protein, resists enzymatic…