Infections in Cirrhosis: A Guide for the Clinician

Am J Med. 2021 Jun;134(6):727-734. doi: 10.1016/j.amjmed.2021.01.015. Epub 2021 Feb 17.

Abstract

Cirrhosis contributes significantly to morbidity and mortality worldwide. Infections in patients with cirrhosis are common and significantly impact health-related quality of life. As our understanding of immune dysfunction associated with cirrhosis grows and as rates of drug-resistant organisms increase, the management of infections in cirrhosis has become increasingly nuanced. In this review, we discuss the current understanding of cirrhosis-associated immune deficiency, review the most common infections in patients with cirrhosis, and highlight techniques for the general clinician in the prevention and treatment of infections in this high-risk population.

Keywords: Cirrhosis; Immune dysfunction; Infections.

Publication types

  • Review

MeSH terms

  • Antibiotic Prophylaxis
  • Clostridioides difficile
  • Humans
  • Infections / etiology*
  • Infections / physiopathology
  • Infections / therapy
  • Liver Cirrhosis / complications*
  • Liver Cirrhosis / physiopathology
  • Liver Cirrhosis / therapy
  • Quality of Life / psychology
  • Risk Factors
  • Urinary Tract Infections