Most Read Articles
Pearl Toh, 02 Sep 2020
Proton beam radiotherapy (PBT) was noninferior to radiofrequency ablation (RFA) for local progression-free survival (LPFS) in patients with recurrent hepatocellular carcinoma (rHCC), in addition to showing a tolerable safety profile, according to the APROH trial presented during the 2020 digital ILC.
Elaine Soliven, 11 Sep 2020
Treatment with an FGF19 analogue aldafermin, previously known as NGM282, led to a significantly reduced liver fat content (LFC) in patients with nonalcoholic steatohepatitis (NASH), according to a study presented at ILC 2020.

Afebrile bacteraemia worsens survival in liver cirrhosis patients

22 May 2020

Liver cirrhosis patients with afebrile bacteraemia remain at risk of worse clinical outcomes and survival, a recent study has shown.

The researchers conducted a single-centre, retrospective cohort study including 104 bacteraemia patients with liver cirrhosis. Of these, 49 (mean age, 56.6±12.1 years; 79.6 percent male) were febrile and 55 (mean age, 55.3±12.3 years; 74.5 percent male) were afebrile. The primary study outcome was 30-day mortality rate. Secondary outcomes included rate of ICU transfer, endotracheal intubation, shock and renal replacement therapy.

Afebrile patients were significantly more likely to be given inappropriate antibiotic therapy than their febrile counterparts (43.6 percent vs 20.4 percent; p=0.01). The following drugs were ineffective in 31 patients overall: third-generation cephalosporins (21 of 31), amoxicillin/clavulanic acid (6 of 31) and fluoroquinolones (2 of 31).

Similarly, the 30-day mortality rate was significantly worse in afebrile participants (40 percent vs 18.4 percent; p=0.02). The rate in the overall cohort was 29.8 percent, with 31 patients dying during follow-up.

Kaplan-Meier survival curves further confirmed that the 30-day cumulative survival probability was significantly lower in afebrile bacteraemia patients with cirrhosis (60 percent vs 81.6 percent; p=0.02).

Afebrile patients also experienced a significantly higher rate of ICU transfers (38.2 percent vs 18.4 percent; p=0.03) and endotracheal intubation (27.3 percent vs 10.2 percent; p=0.03). Septic shock and renal replacement therapy had comparable rates between groups.

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Most Read Articles
Pearl Toh, 02 Sep 2020
Proton beam radiotherapy (PBT) was noninferior to radiofrequency ablation (RFA) for local progression-free survival (LPFS) in patients with recurrent hepatocellular carcinoma (rHCC), in addition to showing a tolerable safety profile, according to the APROH trial presented during the 2020 digital ILC.
Elaine Soliven, 11 Sep 2020
Treatment with an FGF19 analogue aldafermin, previously known as NGM282, led to a significantly reduced liver fat content (LFC) in patients with nonalcoholic steatohepatitis (NASH), according to a study presented at ILC 2020.