الفهرس 
Ascites
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Abstract
Liver cirrhosis and ascites are common problems among Egyptians. The cause of chronic liver disease is mutli factorial including schistosomiasis and-or viral hepatitis.
Spontaneous ascitic infection is an infection in a previously sterile ascitic fluid with no apparent intra abdominal source of infection.
In our study one seventy five patients with liver cirrhosis complicated by ascites were studied for the use of leukocyte esterase reagent strips for the rapid diagnosis of SBP and comparison was done between to different types of leukocyte esterase reagent strips.
Full history, thorough clinical examination and routine laboratory investigations including blood picture, liver and kidney function tests together with chemical, bacteriological, cytological and dipstick testing of ascitic fluid were carried out. Also abdominal ultrasonography was done.
Spontaneous ascitic fluid infection was found in 50 patients (group I) while 25 (group II) were free of ascitic fluid infection. Abdominal pain and hepatic encephalopathy were insignificant between group I and group II
Past history of SBP in our studied groups, showed statistically high significance between the two groups, all the patients in group I had at least experienced one episode of SBP.
Renal function tests showed no significant association between the infected and the non- infected groups. The same was applied to liver function tests.
The abdominal ultrasonography also showed no significant association between the two groups.
In our study, the total leucocytic count in the peripheral blood in group I was higher than in patients of group II and the difference was statistically significant.
Regarding the comparison between the two studied types of reagent strips Multistix test seems to out-perform Macromed test.