The patient without antibiotic prophylaxis re-presented with another episode of SBP. 3) 16 patients were identified as being ‘at high risk’ of SBP

using published criteria; of these only 2 were given appropriate primary prophylaxis. Of the 14 patients who were not given prophylactic antibiotics, one later developed SBP. Conclusion: Although buy Copanlisib the overall number of incident cases of infection in our cohort was low, our study highlights the fact that antibiotic prophylaxis may be underutilized in the inpatient setting. Particular attention is needed in recognizing ‘high risk’ patients with low protein ascites and advanced liver disease for primary antibiotic prophylaxis. R CHENG,1,2 R KANAZAKI,2 FW CHEN,2 NA SHACKEL,1,2 GW MCCAUGHAN1,2 1Centenary Institute of Cancer Medicine and Cell Biology, Sydney, NSW, Australia., mTOR inhibitor 2Royal Prince Alfred Hospital, Sydney, NSW, Australia. Introduction and aims: Thromboelastography (TEG) has been routinely used to predict blood transfusion requirements in liver transplant surgery. It measures viscoelastic properties of blood during different phases of coagulation. Although cirrhotic patients are coagulopathic biochemically, some also paradoxically develop thrombotic complications. Our aim is to assess the differences between coagulation properties (measured by TEG) of patients of varying aetiology of cirrhosis. We also assessed for potential predictors of thrombotic complications

in cirrhosis. Methods: Biochemical

and clinical data were acquired from 116 consecutive patients with liver disease on the Australian National Liver Transplant Unit registry, including: TEG scores [K time (K), R time (R), alpha angle (AA), maximal angle (MA)], coagulation studies (INR, APTT, fibrinogen), full blood count, creatinine, thrombotic complications, cause of cirrhosis, and MELD score. Disease aetiology and MELD scores were compared against each parameter using unpaired t-test. Results: Patients fall into two distinct groups based on coagulation profiles: 13 have cholestatic liver disease (primary biliary cirrhosis and primary sclerosing cholangitis); 103 have non-cholestatic liver disease. When comparing parameters medchemexpress of cholestatic liver disease versus non-cholestatic liver disease, the platelet count in x109/L (129 ± 22.7 vs 73. ± 3.9, p = 0.03), fibrinogen level in g/L (2.9 ± 0.22 vs 1.7 ± 0.06, p < 0.0001), and INR (1.7 ± 0.12 vs 2.2 ± 0.14, p = 0.007) were significantly different. For the TEG items, only MA (in mm.) is significantly different (58 ± 3.2 vs 46 ± 1.0, p = 0.003). MELD score was not significantly different (23 ± 1.8 vs 21 ± 0.9, p = 0.32). In cholestatic liver disease, MELD score does not correlate with TEG or coagulation studies except with INR (p = 0.0015). In non-cholestatic liver disease, MELD score correlates significantly with K (p < 0.0001), R (p = 0.025), MA (p = 002), fibrinogen (p < 0.0001) and INR (p < 0.0001).