EXTRAPANCREATIC INFECTIONS IN ACUTE PANCREATITIS AND ITS INFLUENCE ON DISEASE OUTCOME

Abstract

Introduction: Limited data is available on prevalence of extrapancreatic infection, its influence on outcome of pancreatitis.

Objectives: To assess the prevalence of extra-pancreatic infections in acute pancreatitis, identify risk factors for development of such infections and influence of extrapancreatic infections on outcome of pancreatitis.

Methodology: Patients of acute pancreatitis admitted from June 2013 to July 2015 were recruited in the study. The patients who developed extra-pancreatic infection formed the study group while patients who didn’t develop infections were included in the control group. Both groups were followed and their final outcome was compared.

Results: A total of 350 patients comprising of 158 cases and 192 controls were studied. Prevalence of extra pancreatic infections was found in 41.5% with Urinary tract infections (UTI)(14.4 followed by Biliary (10.0%), pulmonary (8.4%), Pulmonary and UTI (3.7%),Injection site infections (2.1%). Predisposing factors for development of extra pancreatic infections and subsequent outcome of acute pancreatitis was found to be influenced by duration of hospital stay (p<0.001), etiology of acute pancreatitis and comorbidities especially Diabeties mellitus (p<0.001).

Conclusions: Early detection and proper treatment of infections will definitely improve outcome of acute pancreatitis with infections.