[Renal impairment after spontaneous bacterial peritonitis in chronic severe viral hepatitis].

Objective: To study the clinical features, prognosis and influence factors of renal impairment (RI) in chronic severe viral hepatitis with spontaneous bacterial peritonitis (SBP).
Methods: 129 discharged patients with chronic severe viral hepatitis(CSVH) complicated with spontaneous bacterial peritonitis were analyzed retrospectively.
Results: Renal impairment is a frequent event in CSVH patients with SBP. SBP-R I is functional in nature, it may be followed by a rapidly progressive or a stable disease course, or may be reversed after recovery of the infection.
Conclusion: Independent prognostic factors were age, clinical course of liver disease, other infection or diabetes, severe renal impairment, serum sodium level before SBP and negative response to antibiotic therapy.