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Role of antibiotic in preventing infections in patients with Child A cirrhosis presenting with gastrointestinal bleeding: A randomized controlled trial

Not Applicable
Conditions
Health Condition 1: K74- Fibrosis and cirrhosis of liver
Registration Number
CTRI/2021/06/033939
Lead Sponsor
I
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

All patients of Child-A cirrhosis presenting with Acute variceal bleed.

Exclusion Criteria

1)Child-B/C cirrhosis

2)Child-A cirrhosis who have received antibiotics prior to randomisation

3)Child-A cirrhosis who have evidence of infection at presentation

4)Child- A cirrhosis with concomitant hepatocellular carcinoma (HCC)

5)Patients with overt hepatic encephalopathy at presentation

6)AVB in patients with ACLF

7)Patients with renal dysfunction at presentation (serum creatinine >1.5g/dl)

8)Pregnant and lactating females

9)Patients with age <15 years or more than 65 years

10)COVID -19 positive patients.

11)Refusal to give consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Comparison of incidence of infections (SBP and non-SBP related) between those receiving and not receiving antibiotic prophylaxisin child A patients presenting with acute variceal bleed during the period of hospitalisation due to AVB.Timepoint: 72 hours
Secondary Outcome Measures
NameTimeMethod
Comparison of the following outcomes between antibiotic treated and non-treated patients: <br/ ><br>1) 6-week rebleed rate <br/ ><br>2)6-week mortality rate <br/ ><br>3)Incidence of failure to control bleed during the index AVB <br/ ><br>Timepoint: 6 weeks
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