Methodology:The study included all adult in-patients at the UP-PGH admitted or referred due to a probable diagnosis of acute cholangitis from 2009 to 2011. Patients with obstructive jaundice admitted for an elective surgery were also included as soon as they developed two or more indirect signs of infection. Fisher's exact test and Chi-square test were used to determine associations between the categorical values. Results: This is a retrospective study with 105 patients, mean age 46.2 years, majority males (59/105, 56.19)%. Only hypotension was associated significantly with cholangitis (p-value <0.05). Using the 2007 Tokyo guidelines, it was able to detect 73.03% of cholangitis with a positive predictive value of 100%. Using the proposed criteria, it was able to detect 90.91% of cholangitis with a positive predictive value and specificity of 100%. Conclusion: The proposed criteria show promise, with a sensitivity of 90.91% and specificity of 100%. Further researches are needed in the future to validate the results of our study.
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