Ascitic fluid analysis for diagnosis and monitoring of spontaneous bacterial peritonitis

Table 1 Signs and symptoms of SBP at the time of hospital admission in a recently published paper[15]

Patients/No. of episodes of SBP (32/38)	n
Clinical manifestations at hospital admission
Fever	12
Abdominal pain	6
Leukocytosis	11
Hepatic encephalopathy	8
Renal failure	14

Table 2 Results of the urine reagent strips for the diagnosis of SBP

Authors	Samples/SBP (n)	Strips/cut-off grade	Sensitivity	Specificity	PPV	NPV
Vanbiervliet et al[36] 2002	72/9	Multistix ≥ 1	100	100	100	100
Castellote et al[37] 2003	228/52	Aution ≥ 3	89	99	98	97
		Aution ≥ 2	96	89	74	99
Thevenot et al[38] 2004	100/9	Multistix ≥ 3	89	100	100	99
		Combur ≥ 2	89	100	100	99
Butani et al[39] 2004	136/12	Multistix ≥ 2	83	99	91	98
Sapey et al[40] 2005	184/13	Center 1/Nephur ≥ 1	86	100	100	99
		Center 1/Multistix ≥ 1	100	100	100	100
		Center 2/Nephur ≥ 1	100	92.5	75	100
		Center 2/Multistix ≥ 1	83	96	83	96
Sapey et al[41] 2005	245/17	Nephur ≥ 3	88.2	99.6	93.8	99.1
		Multistix ≥ 1	64.7	99.6	91.7	97.4
Kim et al[42] 2005	75/18	Uriscan ≥ 2	100	100	100	100
		Multistix ≥ 3	50	100	100	87
Sarwar et al[43] 2005	214/38	Combur ≥ 3	97.7	89.4	90	97.7
Wisniewski et al[44] 2005	47/6	Multistix ≥ 1	83	83	97	42
Campillo et al[45] 2006	443/46	Multistix ≥ 1	69.6	94.9	64	96
		Combur ≥ 1	80.4	90.4	52	97.3
		Multistix ≥ 2	45.7	98	75	93.3
Rerknimitr et al[46] 2006	200/42	Combur ≥ 1	88	81	55	96
		Combur ≥ 2	63	96	82	81
Braga et al[47] 2006	100/9	Combur ≥ 2	100	98.9	92.3	100
Torun et al[48] 2007	63/15	Aution ≥ 2	93	100	100	98
Gaya et al[49] 2007	173/14	Multistix ≥ 1	100	91	50	100
Nobre et al[50] 2008	109/9	Combina ≥ 2	78	88	37	98
		Combina ≥ 3	67	98	75	97
Ribeiro et al[51] 2007	200/14	Multistix ≥ 1	86	96	60	99
		Multistix ≥ 2	71	99	91	98
Nousbaum et al[52] 2007	1041/117	Multistix ≥ 3	45.3	99.2	77.9	96.9

Table 3 Results of the automated cell counter for the diagnosis of SBP

Authors	Samples/SBP (n)	Automated cell counters	Diagnosis of SBP
			Sensitivity	Specificity	PPV	NPV
Angeloni et al[54] 2003	130/11	Technicon System H*1	94	100	100	99.1
		Coulter	100	92	87	100
Cereto et al[55] 2004	133/48	UF-100	98	98	96	99
		ADVIA	100	95	95	100
Riggio et al[56] 2008	112/16	Technicon System H*1	100	97.7	94.1	100