الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
AFIs are considered serious complications in cirrhotic patients and are associated with high morbidity and mortality.
Spontaneous bacterial peritonitis, CNNA, NNB and SecBP are the clinical forms of AFIs, which are classified according to TLC and culture positivity.
The aim of the present study was to identify the bacterial etiology of AFI using different microbiological techniques and to determine the antimicrobial susceptibility pattern of the causative bacterial pathogen.
The study was conducted on 50 patients attending the Internal Medicine Department of Alexandria Main University Hospital with symptoms and signs of AFI such as fever, abdominal pain or GIT bleeding.
Patients were subjected to full history taking and examination. Investigations included routine biochemical tests, complete blood count and abdominal paracentesis. Ascitic fluid samples were subjected to ascitic fluid analysis including; total and differential leukocytic count as well as protein, glucose and LDH levels estimation as well as microbiological study; including Gram staining, detection and identification of pathogens using conventional and automated techniques followed by antibiotic sensitivity testing to the recovered bacterial strains.
Out of 50 patients with ascites in the current study (24%) of cases were diagnosed as SBP, (14%) of cases as SecBP and (6%) as NNB, (24%) of cases as CNNA and (32%) of cases as CNNNA.