Research Topics
Species | Javier FernandezSummaryCountry: Spain Publications
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Detail Information
Publications
Management of bacterial infections in cirrhosisJavier Fernandez
Liver Unit, IMDiM, Hospital Clinic, Universidad de Barcelona, IDIBAPS and Ciberehd, Barcelona, Spain
J Hepatol 56:S1-12. 2012..This review is focused on the currently recommended diagnostic, therapeutic and prophylactic strategies for bacterial infections in the cirrhotic population...
Prevalence and risk factors of infections by multiresistant bacteria in cirrhosis: a prospective studyJavier Fernandez
Liver Unit, Hospital Clinic, University of Barcelona, Barcelona, Spain
Hepatology 55:1551-61. 2012..New antibiotic strategies tailored according to the local epidemiological patterns are needed for the empirical treatment of nosocomial infections in cirrhosis...
[Adrenal insufficiency in cirrhosis]Javier Fernandez
IMDiM, IDIBAPS, Hospital Clinic, Universidad de Barcelona, CIBERehd, Barcelona, Espana
Gastroenterol Hepatol 31:606-11. 2008..This chapter summarizes the main aspects of the physiopathology, diagnosis and treatment of this entity in patients with acute or chronic liver disease...
Effect of intravenous albumin on systemic and hepatic hemodynamics and vasoactive neurohormonal systems in patients with cirrhosis and spontaneous bacterial peritonitisJavier Fernandez
Liver Unit, IMD, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain
J Hepatol 41:384-90. 2004..Albumin administration prevents renal failure and improves survival in spontaneous bacterial peritonitis. This study characterizes the mechanisms of action of albumin in this condition...
A randomized unblinded pilot study comparing albumin versus hydroxyethyl starch in spontaneous bacterial peritonitisJavier Fernandez
Liver Unit, IMDM and IDIBAPS, Hospital Clinic, University of Barcelona, Spain
Hepatology 42:627-34. 2005..This effect is due not only to volume expansion but also to an action on the peripheral arterial circulation...
Adrenal insufficiency in patients with cirrhosis and septic shock: Effect of treatment with hydrocortisone on survivalJavier Fernandez
Liver Unit, Department of Surgery and Centro de Investigaciones Biomédicas Esther Koplowitz, IMDiM, IDIBAPS, Hospital Clinic, University of Barcelona, Spain
Hepatology 44:1288-95. 2006..Hydrocortisone administration in these patients is associated with a high frequency of shock resolution and high survival rate...
Albumin for bacterial infections other than spontaneous bacterial peritonitis in cirrhosis. A randomized, controlled studyMonica Guevara
Liver Unit, Hospital Clinic, University of Barcelona, Barcelona, Catalunya, Spain
J Hepatol 57:759-65. 2012..Whether albumin has similar beneficial effects in patients with infections other than SBP is unknown...
Renal failure and hyponatremia in patients with cirrhosis and skin and soft tissue infection. A retrospective studyGustavo Pereira
University of Barcelona, Barcelona, Spain
J Hepatol 56:1040-6. 2012..This study aimed at assessing the characteristics, occurrence of renal failure, and outcome of cirrhotic patients with skin and soft tissue infection...
Norfloxacin vs ceftriaxone in the prophylaxis of infections in patients with advanced cirrhosis and hemorrhageJavier Fernandez
IMDM and IDIBAPS, Liver Unit, Hospital Clinic, University of Barcelona, Villaroel 170, 08036 Barcelona, Spain
Gastroenterology 131:1049-56; quiz 1285. 2006..This randomized controlled trial was aimed to compare oral norfloxacin vs intravenous ceftriaxone in the prophylaxis of bacterial infection in cirrhotic patients with gastrointestinal bleeding...
Bacterial infections in cirrhosis: epidemiological changes with invasive procedures and norfloxacin prophylaxisJavier Fernandez
Liver Unit, IMD, and Department of Microbiology and IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain
Hepatology 35:140-8. 2002..Quinolone-resistant spontaneous bacterial peritonitis constitutes an emergent problem in patients on long-term norfloxacin prophylaxis, with trimethoprim-sulfamethoxazole not being a valid alternative...
Prognostic importance of the cause of renal failure in patients with cirrhosisMarta Martín-Llahí
Liver Unit, Hospital Clinic, University of Barcelona, Barcelona, Spain
Gastroenterology 140:488-496.e4. 2011..The prognostic value of the different causes of renal failure in cirrhosis is not well established. This study investigated the predictive value of the cause of renal failure in cirrhosis...
Urinary neutrophil gelatinase-associated lipocalin as biomarker in the differential diagnosis of impairment of kidney function in cirrhosisClaudia Fagundes
Liver Unit, Hospital Clinic, University of Barcelona, Barcelona, Catalunya, Spain
J Hepatol 57:267-73. 2012..We aimed at assessing the usefulness of neutrophil gelatinase-associated lipocalin (NGAL), a biomarker of tubular damage, in the differential diagnosis of impairment of kidney function in cirrhosis...
Primary prophylaxis of spontaneous bacterial peritonitis delays hepatorenal syndrome and improves survival in cirrhosisJavier Fernandez
Liver Unit, Hospital Clinic Barcelona, Barcelona, Spain
Gastroenterology 133:818-24. 2007..Norfloxacin is highly effective in preventing spontaneous bacterial peritonitis recurrence in cirrhosis, but its role in the primary prevention of this complication is uncertain...
Failure of Lactobacillus spp. to prevent bacterial translocation in a rat model of experimental cirrhosisTilman Martin Bauer
Liver Unit, Institut Malalties Digestives, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain
J Hepatol 36:501-6. 2002..We investigated whether an alternative strategy with Lactobacillus prevents bacterial translocation and ascitic fluid infection in cirrhotic rats...
Management of critically-ill cirrhotic patientsPere Gines
Liver Unit, IMDiM, Hospital Clinic Barcelona, University of Barcelona and IDIBAPS and Ciberehd, Barcelona, Spain
J Hepatol 56:S13-24. 2012..This review will focus on the diagnostic approach and treatment strategies currently recommended in the critical care management of patients with cirrhosis...
Hyponatremia in patients treated with terlipressin for severe gastrointestinal bleeding due to portal hypertensionElsa Solá
Liver Unit, Hospital Clinic, University of Barcelona, Barcelona, Catalunya, Spain
Hepatology 52:1783-90. 2010..It develops rapidly after start of therapy, may be severe in some patients and is associated with neurological complications, and is usually reversible after terlipressin withdrawal...
Pathogenesis and treatment of hepatorenal syndromeVicente Arroyo
Liver Unit, Institute of Digestive and Metabolic Diseases, CIBERehd, Hospital Clinic, University of Barcelona, Spain
Semin Liver Dis 28:81-95. 2008..However, effective treatments of HRS (vasoconstrictors associated with intravenous albumin, transjugular intrahepatic portacaval shunt, albumin dialysis) that can improve survival have recently been introduced...
Management of hepatorenal syndrome in patients with cirrhosisVicente Arroyo
Liver Unit, Hospital Clinic Barcelona, University of Barcelona, Villarroel 170, Barcelona, Catalonia 08036, Spain
Nat Rev Nephrol 7:517-26. 2011..Albumin dialysis is a potentially effective treatment for type 1 HRS still under investigation. Patients with type 2 HRS are treated with repeated large-volume paracentesis or TIPS...
Pathophysiological basis of albumin use in cirrhosisVicente Arroyo
Liver Unit, Institut de Malalties Digestives i Metaboliques, Hospital Clinic and Institut d Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona, Barcelona, Spain
Ann Hepatol 10:S6-14. 2011..Impairment of albumin function is one of the most characteristic traits of cirrhosis. Administration of exogenous albumin could be beneficial because of its positive effects on microcirculation...
Increased apoptosis dependent on caspase-3 activity in polymorphonuclear leukocytes from patients with cirrhosis and ascitesMaria Jose Ramirez
Liver Unit, Hospital Clinic Universitari, Institut d Investigacions Biomediques August Pi i Sunyer, University of Barcelona, Barcelona, Spain
J Hepatol 41:44-8. 2004..The aim of the current study was to investigate whether the presence of increased PMN apoptosis could also contribute to the appearance of neutropenia in these patients...
