HealthDay News — According to a study published in Clinical Gastroenterology and Hepatology, timely administration of antibiotics is associated with a reduction in mortality among patients with cirrhosis and upper gastrointestinal bleeding (UGIB).

Andrew Moon, MD, MPH, from the University of Washington in Seattle, and colleagues conducted a retrospective study involving 6451 patients with cirrhosis in the Veterans Affairs health care system hospitalized for UGIB (8655 hospitalizations).

The researchers found that timely administration of antibiotics (defined as receipt from 8 hours before admission through 48 hours afterward) occurred during 48.6% of admissions, with an increase from 30.6% in 2005 to 58.1% in 2013. 


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Ascites, high model for end-stage liver disease score, esophageal variceal hemorrhage and administration of octreotide or intravenous proton-pump inhibitors were independent predictors of antibiotic receipt. Black race and non-alcoholic fatty liver disease were associated with decreased odds of antibiotic provision. There was a correlation for timely administration of antibiotics with reduced 30-day mortality rate in multivariate analysis (adjusted odds ratio, 0.70).

“In a study of patients with cirrhosis and UGIB in the VA health care system, timely administration of antibiotics was associated with a 30% reduction in 30-day mortality,” the authors write. “Targeted efforts are needed to promote the appropriate use of antibiotics among patients with cirrhosis and UGIB.”

Reference

Moon AM, et al. “Use Of Antibiotics Among Patients With Cirrhosis And Upper Gastrointestinal Bleeding Is Associated With Reduced Mortality”. Clinical Gastroenterology and Hepatology. 2016. 14(11): 1629-1637.e1. doi: 10.1016/j.cgh.2016.05.040. [Epub ahead of print]

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