کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5667288 | 1592030 | 2017 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Vitamin D deficiency is a risk factor for infections in patients affected by HCV-related liver cirrhosis Vitamin D deficiency is a risk factor for infections in patients affected by HCV-related liver cirrhosis](/preview/png/5667288.png)
ObjectivesTo evaluate the prevalence of vitamin D deficiency and its impact on infections in HCV-related liver cirrhosis.MethodsWe enrolled 291 patients affected by HCV-related liver cirrhosis. Serum vitamin D levels were dosed at enrolment. The presence of infection was assessed at baseline and during follow-up based on physical examination and laboratory analyses.ResultsVitamin D deficiency (<20 ng/mL) was diagnosed in 68.3% of patients, and a total of 102 infections were detected. Urinary tract infections were the most common infections diagnosed (41.2%). Vitamin D deficiency rates were higher in patients with decompensated cirrhosis (Child-Pugh B vs A p = 0.008, and Child-Pugh C vs A p = 0.024). Infection was significantly associated with vitamin D deficiency (p < 0.001), MELD score >15 (p = 0.003), Child-Pugh class B/C vs A (p < 0.001), and active hepatocellular carcinoma (HCC) (p < 0.001). At multivariate analysis, vitamin D deficiency (p < 0.01), HCC (p < 0.05), hospitalization (p < 0.001) and exposure to immunosuppressant agents (p < 0.05) were independent risk factors for infection at baseline.ConclusionsVitamin D may play a role in the development of infections in patients affected by liver cirrhosis, and preventive strategies with vitamin D supplementation are to be evaluated in randomized controlled trials.
Journal: International Journal of Infectious Diseases - Volume 63, October 2017, Pages 23-29