1. Development of an experimental model of induced bacterial peritonitis in cirrhotic rats with or without ascites.
- Author
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Sánchez E, Such J, Chiva MT, Soriano G, Llovet T, Mercè J, Sancho F, Muñoz C, Song XY, Pérez-Mateo M, Balanzó J, and Guarner C
- Subjects
- Animals, Anti-Bacterial Agents therapeutic use, Carbon Tetrachloride, Ceftriaxone therapeutic use, Disease Models, Animal, Escherichia coli Infections, Liver Cirrhosis, Experimental chemically induced, Male, Random Allocation, Rats, Rats, Sprague-Dawley, Ascites complications, Bacterial Infections, Liver Cirrhosis, Experimental complications, Peritonitis etiology
- Abstract
Background: Spontaneous bacterial peritonitis (SBP) is a severe complication of cirrhotic patients associated with a high mortality., Aim: To develop an available experimental model of induced bacterial peritonitis in cirrhosis., Material and Methods: Sprague-Dawley rats with carbon-tetrachloride-induced cirrhosis with (N=22) or without (N=101) ascites were randomized to receive an intraperitoneal administration of different concentrations of Escherichia coli (E. coli) diluted in 1 mL of sterile water in ascitic rats and in different volumes in nonascitic rats. A subgroup of nonascitic animals received ceftriaxone 4 h after E. coli inoculation. Mortality of rats was evaluated 24 h after bacterial inoculation., Results: None of the rats receiving sterile water alone and only one infected with 10(7) cfu of E. coli died. Ascitic rats showed a lower mortality rate than nonascitic rats infected with 10(8) or 10(9) cfu of E. coli (P<0.05). Mortality was higher with 10(9) cfu than with 10(8) cfu of E. coli in ascitic (P NS) and nonascitic (P<0.01) rats. A trend was noted to ward higher mortality in nonascitic rats inoculated with 10(8) cfu with increasing water volumes. A marked peritoneal polymorphonuclear cell response was observed 4 h after E. coli injection in both ascitic and nonascitic rats. Antibiotic therapy significantly reduced the mortality rate of rats infected with 10(8) cfu (P<0.01)., Conclusions: This experimental model of induced bacterial peritonitis in cirrhosis with or without ascites may represent a useful tool for the study of pathogenic events postinfection and for the design of new therapeutic strategies to treat patients with SBP.
- Published
- 2007
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