GIÁ TRỊ CỦA THANG ĐIỂM WEHMEYER VÀ MANSOURA TRONG DỰ ĐOÁN VIÊM PHÚC MẠC NHIỄM KHUẨN NGUYÊN PHÁT Ở BỆNH NHÂN XƠ GAN MẤT BÙ NĂM 2024-2025

Abstract

Background: The clinical presentation of spontaneous bacterial peritonitis (SBP) depends on the stage of infection, often being asymptomatic and easily overlooked in its early stages. Therefore, predictive scoring systems play a crucial role in identifying high-risk patients, guiding early diagnostic paracentesis and prompt antibiotic therapy, ultimately improving the prognosis of patients with decompensated cirrhosis (DC). Objective: To determine the prognostic value of the Wehmeyer and Mansoura scores in predicting SBP in patients with DC. Materials and methods: A cross-sectional descriptive study with analysis was conducted on 40 patients with DC and ascites admitted to Can Tho Central General Hospital from September 2024 to March 2025. Results: The male-to-female ratio was 1.86, with the majority (65.0%) being under 60 years old. Cirrhosis was attributed to hepatitis B virus (HBV) infection in 65.0% of cases, alcohol consumption in 60%, and a combination of alcohol and HBV in 30.0%. The mean Wehmeyer score was 2.1 ± 0.9, while the mean Mansoura score was 2.15 ± 0.92. The incidence of SBP was 25.0%. The discriminative ability of the Wehmeyer and Mansoura scores at cut-off of 3, as reflected by the area under the curve (AUC), was 97% and 86%, respectively, in predicting SBP. Conclusion: The Wehmeyer and Mansoura scores demonstrate a high discriminative value in predicting SBP in patients with cirrhosis and ascites.