For the complementary function in evaluating microsomal liver function,Cmethacetin breath test may be a dependable diagnostic and followup test for individuals with chronic liver illness. Disclosure of Interest: None declaredP Increasing FREQUENCY OF GRAMPOSITIVE COCCI IN SPONTANEOUS BACTERIAL PERITONITIS. A SINGLE CENTRE Encounter C. Triantos,C. Grigoropoulou,N. Koukias,A. Zavitsanaki,M. Christofidou,I. Spiliotopoulou,C. Tsolias,V. Nikolopoulou,C. Karatza,K. Thomopoulos Gastroenterology Division,General Medicine Division,Microbiology Laboratory,University Hospital of Patras,Patras,Greece Get in touch with E-mail Address: nkoukiasgmail Introduction: Sponteneous bacterial peritonitis (SBP) in sufferers with hepatic cirrhosis is mainly associated to gram unfavorable enterobacteriaceae. Current research have reported a change inside the epidemiology of microbes that are being isolated in SBP and an increased prevalence of gram good and multiresistant bacteria. Aims Procedures: Record the bacteria which have been isolated in the ascitic fluid of patients with hepatic cirrhosis and their resistance in generally applied antibiotics. Good ascitic fluid cultures of cirrhotic sufferers that have been admitted in our hospital plus the respective antibiograms have been retrospectively recorded. Outcomes: individuals ( male) with hepatic cirrhosis having a median age of years had constructive ascitic fluid culture. In cultures Gram constructive bacteria have already been isolated. In detail the isolated bacteria have been: enterococcus spp. ,Escherichia coli ,streptococcus spp ,Klebsiella ,staphylococcus ,Proteasspp ,Enterobacter Acinetobacter ,Cronobacter ,Pseudomonas aurigonosa . Resistance to rd generation cephalosporines has been located in out strains,in ciprofloxacine in out of and in ampicilline in out of . Conclusion: Gram bacteria happen to be isolatedin the majority of optimistic ascitic fluid cultures. Resistance to rdgeneration cephalosporines and ciprofloxacine is widespread. Therapy ought to be individualized in line with culture outcomes and sufferers qualities. Disclosure of Interest: None declaredA P EARLY INPATIENT MANAGEMENT OF ALCOHOLRELATED LIVER Illness: Final results OF A LIVER CARE BUNDLE To improve Excellent OF CARE C. Mason,I. HuangDoran,M. McPhail,S. Peake,K. Monahan,C. Collins Department of Gastroenterology,West Middlesex University Hospital,London,United kingdom Introduction: The incidence of Alcohol Connected Liver Illness (ARLD) is rising inside the UK,as is its linked mortality. A recent National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report highlighted recurring deficiencies in the management of ARLD in UK hospitals plus the British Society of Gastroenterology offered guidance inside the therapy of those individuals for the duration of acute hospital admissions. Aims Solutions: Among August and October ,consecutive admissions of sufferers with ARLD to a district common hospital had been identified from discharge and mortality data. A liver care bundle (LCB) applying NCEPOD suggestions was generated. Case notes have been analysed prior to institution of this LCB and reaudited following its inception from April to July PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/19389808 . Electronic referrals to Acetovanillone site specialist gastroenterology and dieticians formed part of the LCB,too as a checklist of actions for the admitting doctor. Outcomes: individuals (median age years) had been identified initially with ARLD,of which ( had been male. Median Model for Endstage Liver Illness (MELD) score was (range ). Post LCB institution a further cohort of individuals studied w.