Comparison of peritoneal fluid and peripheral blood pH, bicarbonate, glucose, and lactate concentration as a diagnostic tool for septic peritonitis in dogs and cats

Objective— To establish a reliable diagnostic tool for septic peritonitis in dogs and cats using pH, bicarbonate, lactate, and glucose concentrations in peritoneal fluid and venous blood. Study Design— Prospective clinical study. Animals— Eighteen dogs and 12 cats with peritoneal effusion. Methods—...

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Veröffentlicht in:Veterinary surgery 2003-03, Vol.32 (2), p.161-166
Hauptverfasser: Bonczynski, J.J, Ludwig, L.L, Barton, L.J, Loar, A, Peterson, M.E
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container_start_page 161
container_title Veterinary surgery
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creator Bonczynski, J.J
Ludwig, L.L
Barton, L.J
Loar, A
Peterson, M.E
description Objective— To establish a reliable diagnostic tool for septic peritonitis in dogs and cats using pH, bicarbonate, lactate, and glucose concentrations in peritoneal fluid and venous blood. Study Design— Prospective clinical study. Animals— Eighteen dogs and 12 cats with peritoneal effusion. Methods— pH, bicarbonate, electrolyte, lactate, and glucose concentrations were measured on 1‐ to 2‐mL samples of venous blood and peritoneal fluid collected at admission. The concentration difference between blood and peritoneal fluid for pH, bicarbonate, glucose, and lactate concentrations were calculated by subtracting the peritoneal fluid concentration from the blood concentration. Peritoneal fluid was submitted for cytologic examination and bacterial culture. Peritonitis was classified as septic or nonseptic based on cytology and bacterial culture results. Results— In dogs, with septic effusion, peritoneal fluid glucose concentration was always lower than the blood glucose concentration. A blood‐to‐fluid glucose (BFG) difference > 20 mg/dL was 100% sensitive and 100% specific for the diagnosis of septic peritoneal effusion in dogs. In 7 dogs in which it was evaluated, a blood‐to‐fluid lactate (BFL) difference < −2.0 mmol/L was also 100% sensitive and specific for a diagnosis of septic peritoneal effusion. In cats, the BFG difference was 86% sensitive and 100% specific for a diagnosis of septic peritonitis. In dogs and cats, the BFG difference was more accurate for a diagnosis of septic peritonitis than peritoneal fluid glucose concentration alone. Conclusions— A concentration difference > 20 mg/dL between blood and peritoneal fluid glucose concentration provides a rapid and reliable means to differentiate a septic peritoneal effusion from a nonseptic peritoneal effusion in dogs and cats. Clinical Relevance— The difference between blood and peritoneal fluid glucose concentrations should be used as a more reliable diagnostic indicator of septic peritoneal effusion than peritoneal fluid glucose concentration alone.
doi_str_mv 10.1053/jvet.2003.50005
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Study Design— Prospective clinical study. Animals— Eighteen dogs and 12 cats with peritoneal effusion. Methods— pH, bicarbonate, electrolyte, lactate, and glucose concentrations were measured on 1‐ to 2‐mL samples of venous blood and peritoneal fluid collected at admission. The concentration difference between blood and peritoneal fluid for pH, bicarbonate, glucose, and lactate concentrations were calculated by subtracting the peritoneal fluid concentration from the blood concentration. Peritoneal fluid was submitted for cytologic examination and bacterial culture. Peritonitis was classified as septic or nonseptic based on cytology and bacterial culture results. Results— In dogs, with septic effusion, peritoneal fluid glucose concentration was always lower than the blood glucose concentration. A blood‐to‐fluid glucose (BFG) difference &gt; 20 mg/dL was 100% sensitive and 100% specific for the diagnosis of septic peritoneal effusion in dogs. In 7 dogs in which it was evaluated, a blood‐to‐fluid lactate (BFL) difference &lt; −2.0 mmol/L was also 100% sensitive and specific for a diagnosis of septic peritoneal effusion. In cats, the BFG difference was 86% sensitive and 100% specific for a diagnosis of septic peritonitis. In dogs and cats, the BFG difference was more accurate for a diagnosis of septic peritonitis than peritoneal fluid glucose concentration alone. Conclusions— A concentration difference &gt; 20 mg/dL between blood and peritoneal fluid glucose concentration provides a rapid and reliable means to differentiate a septic peritoneal effusion from a nonseptic peritoneal effusion in dogs and cats. Clinical Relevance— The difference between blood and peritoneal fluid glucose concentrations should be used as a more reliable diagnostic indicator of septic peritoneal effusion than peritoneal fluid glucose concentration alone.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1053/jvet.2003.50005</identifier><identifier>PMID: 12692761</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Inc</publisher><subject>Animals ; Ascitic Fluid - metabolism ; Bacteremia - diagnosis ; Bacteremia - veterinary ; bicarbonates ; Bicarbonates - blood ; Blood Chemical Analysis - standards ; Blood Chemical Analysis - veterinary ; blood chemistry ; Blood Glucose - metabolism ; Cat Diseases - diagnosis ; Cats ; diagnostic techniques ; Dog Diseases - diagnosis ; Dogs ; glucose ; Glucose - metabolism ; Hydrogen-Ion Concentration ; lactates ; Lactic Acid - blood ; peritoneal fluid ; peritonitis ; Peritonitis - diagnosis ; Peritonitis - veterinary ; Predictive Value of Tests ; Prospective Studies ; Sensitivity and Specificity ; sepsis (infection)</subject><ispartof>Veterinary surgery, 2003-03, Vol.32 (2), p.161-166</ispartof><rights>Copyright 2003 by The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4301-4b6519beb7a24387880da0a36518c11e50ad0bdc67d1b5d2b216aca910a9761d3</citedby><cites>FETCH-LOGICAL-c4301-4b6519beb7a24387880da0a36518c11e50ad0bdc67d1b5d2b216aca910a9761d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1053%2Fjvet.2003.50005$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1053%2Fjvet.2003.50005$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12692761$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bonczynski, J.J</creatorcontrib><creatorcontrib>Ludwig, L.L</creatorcontrib><creatorcontrib>Barton, L.J</creatorcontrib><creatorcontrib>Loar, A</creatorcontrib><creatorcontrib>Peterson, M.E</creatorcontrib><title>Comparison of peritoneal fluid and peripheral blood pH, bicarbonate, glucose, and lactate concentration as a diagnostic tool for septic peritonitis in dogs and cats</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective— To establish a reliable diagnostic tool for septic peritonitis in dogs and cats using pH, bicarbonate, lactate, and glucose concentrations in peritoneal fluid and venous blood. Study Design— Prospective clinical study. Animals— Eighteen dogs and 12 cats with peritoneal effusion. Methods— pH, bicarbonate, electrolyte, lactate, and glucose concentrations were measured on 1‐ to 2‐mL samples of venous blood and peritoneal fluid collected at admission. The concentration difference between blood and peritoneal fluid for pH, bicarbonate, glucose, and lactate concentrations were calculated by subtracting the peritoneal fluid concentration from the blood concentration. Peritoneal fluid was submitted for cytologic examination and bacterial culture. Peritonitis was classified as septic or nonseptic based on cytology and bacterial culture results. Results— In dogs, with septic effusion, peritoneal fluid glucose concentration was always lower than the blood glucose concentration. A blood‐to‐fluid glucose (BFG) difference &gt; 20 mg/dL was 100% sensitive and 100% specific for the diagnosis of septic peritoneal effusion in dogs. In 7 dogs in which it was evaluated, a blood‐to‐fluid lactate (BFL) difference &lt; −2.0 mmol/L was also 100% sensitive and specific for a diagnosis of septic peritoneal effusion. In cats, the BFG difference was 86% sensitive and 100% specific for a diagnosis of septic peritonitis. In dogs and cats, the BFG difference was more accurate for a diagnosis of septic peritonitis than peritoneal fluid glucose concentration alone. Conclusions— A concentration difference &gt; 20 mg/dL between blood and peritoneal fluid glucose concentration provides a rapid and reliable means to differentiate a septic peritoneal effusion from a nonseptic peritoneal effusion in dogs and cats. 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Ludwig, L.L ; Barton, L.J ; Loar, A ; Peterson, M.E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4301-4b6519beb7a24387880da0a36518c11e50ad0bdc67d1b5d2b216aca910a9761d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Animals</topic><topic>Ascitic Fluid - metabolism</topic><topic>Bacteremia - diagnosis</topic><topic>Bacteremia - veterinary</topic><topic>bicarbonates</topic><topic>Bicarbonates - blood</topic><topic>Blood Chemical Analysis - standards</topic><topic>Blood Chemical Analysis - veterinary</topic><topic>blood chemistry</topic><topic>Blood Glucose - metabolism</topic><topic>Cat Diseases - diagnosis</topic><topic>Cats</topic><topic>diagnostic techniques</topic><topic>Dog Diseases - diagnosis</topic><topic>Dogs</topic><topic>glucose</topic><topic>Glucose - metabolism</topic><topic>Hydrogen-Ion Concentration</topic><topic>lactates</topic><topic>Lactic Acid - blood</topic><topic>peritoneal fluid</topic><topic>peritonitis</topic><topic>Peritonitis - diagnosis</topic><topic>Peritonitis - veterinary</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>sepsis (infection)</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bonczynski, J.J</creatorcontrib><creatorcontrib>Ludwig, L.L</creatorcontrib><creatorcontrib>Barton, L.J</creatorcontrib><creatorcontrib>Loar, A</creatorcontrib><creatorcontrib>Peterson, M.E</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bonczynski, J.J</au><au>Ludwig, L.L</au><au>Barton, L.J</au><au>Loar, A</au><au>Peterson, M.E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of peritoneal fluid and peripheral blood pH, bicarbonate, glucose, and lactate concentration as a diagnostic tool for septic peritonitis in dogs and cats</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2003-03</date><risdate>2003</risdate><volume>32</volume><issue>2</issue><spage>161</spage><epage>166</epage><pages>161-166</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective— To establish a reliable diagnostic tool for septic peritonitis in dogs and cats using pH, bicarbonate, lactate, and glucose concentrations in peritoneal fluid and venous blood. Study Design— Prospective clinical study. Animals— Eighteen dogs and 12 cats with peritoneal effusion. Methods— pH, bicarbonate, electrolyte, lactate, and glucose concentrations were measured on 1‐ to 2‐mL samples of venous blood and peritoneal fluid collected at admission. The concentration difference between blood and peritoneal fluid for pH, bicarbonate, glucose, and lactate concentrations were calculated by subtracting the peritoneal fluid concentration from the blood concentration. Peritoneal fluid was submitted for cytologic examination and bacterial culture. Peritonitis was classified as septic or nonseptic based on cytology and bacterial culture results. Results— In dogs, with septic effusion, peritoneal fluid glucose concentration was always lower than the blood glucose concentration. A blood‐to‐fluid glucose (BFG) difference &gt; 20 mg/dL was 100% sensitive and 100% specific for the diagnosis of septic peritoneal effusion in dogs. In 7 dogs in which it was evaluated, a blood‐to‐fluid lactate (BFL) difference &lt; −2.0 mmol/L was also 100% sensitive and specific for a diagnosis of septic peritoneal effusion. In cats, the BFG difference was 86% sensitive and 100% specific for a diagnosis of septic peritonitis. In dogs and cats, the BFG difference was more accurate for a diagnosis of septic peritonitis than peritoneal fluid glucose concentration alone. Conclusions— A concentration difference &gt; 20 mg/dL between blood and peritoneal fluid glucose concentration provides a rapid and reliable means to differentiate a septic peritoneal effusion from a nonseptic peritoneal effusion in dogs and cats. Clinical Relevance— The difference between blood and peritoneal fluid glucose concentrations should be used as a more reliable diagnostic indicator of septic peritoneal effusion than peritoneal fluid glucose concentration alone.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Inc</pub><pmid>12692761</pmid><doi>10.1053/jvet.2003.50005</doi><tpages>6</tpages></addata></record>
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subjects Animals
Ascitic Fluid - metabolism
Bacteremia - diagnosis
Bacteremia - veterinary
bicarbonates
Bicarbonates - blood
Blood Chemical Analysis - standards
Blood Chemical Analysis - veterinary
blood chemistry
Blood Glucose - metabolism
Cat Diseases - diagnosis
Cats
diagnostic techniques
Dog Diseases - diagnosis
Dogs
glucose
Glucose - metabolism
Hydrogen-Ion Concentration
lactates
Lactic Acid - blood
peritoneal fluid
peritonitis
Peritonitis - diagnosis
Peritonitis - veterinary
Predictive Value of Tests
Prospective Studies
Sensitivity and Specificity
sepsis (infection)
title Comparison of peritoneal fluid and peripheral blood pH, bicarbonate, glucose, and lactate concentration as a diagnostic tool for septic peritonitis in dogs and cats
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