We conducted a meta-analysis to compare the safety of heparin saline solution (HS) with normal saline solution (NS) for adult decompensated liver cirrhosis (DLC) patients. Methods: A search in the Medline and Chinese CNKI databases (up to Mar 2013) was performed. Either randomized or nonrandomized controlled studies which GSK126 research buy compared HS to NS for locking either peripheral or central intravenous devices in adult patients with DLC were eligible. The occlusion and bleeding events were compared by the RevMan 5.0 software. The odds ratios (OR) and the accumulative incidence rates were calculated. Results: Three Chinese studies (totally 341 patients) were included

for meta-analysis. In central intravenous device subset, the catheter occlusion rate of HS group was significantly lower than that of NS group

(6.1% vs 27.1%, OR = 0.17, P < 0.00001). However, in peripheral device subset, the catheter occlusion rates were 5.6% and 8.4% in HS and NS groups without significant difference (OR = 0.65, P = 0.14). Furthermore, in peripheral subset the local bleeding rates were 6.5% vs 1.1% in HS and NS groups (OR = 5.96, P = 0.0008), while the result of distal bleeding rate comparison was the same (OR = 6.15, P = 0.0006). Conclusion: Heparin Caspase-dependent apoptosis saline solution is necessary to prevent catheter occlusion in locking central intravenous infusion device, but normal saline solution is effective and even safer in locking peripheral device for adult decompensated liver cirrhosis patients. (Scientific Research Program of Public Health Department of Sichuan Province China, No. 120223). Key Word(s): 1. liver cirrhosis; 2. heparin; 3. infusion; 4. intravenous medchemexpress catheter; Presenting Author: GAO YAN Corresponding Author: GAO YAN Affiliations: Beijing Jishuitan Hospital Objective: There is more and more reports of drug-induced liver disease (DILD) for the last few years. The clinical manifestation and prognosis of DILD is varied. It is still lack of reliable prognostic indicator. This research is to analyse the etiology, clinical feature and prognosis of DILD. Methods: The data of the patients with possible diagnosis of DILD in our hospital between 1996 and 2012 were collected. Their clinical, biochemical profiles were retrospectively

analyzed. Evaluation of the causality assessment was performed using international consensus criteria (RUCAM). Multiple logistic regression analysis was used to identify the prognostic indicator of DILD. Results: Between January 1997 and September 2012, 195 cases of DILD were confirmed with diagnostic criteria. The most of them were female (n = 126, 64.6%). A variety of drugs, including herbal medicine (58.4% of all), antibiotics (15.4%), chemotherapeutics and antituberculosis drugs (7.3%) caused drug-induce liver disease. The common clinical manifestation of patients with DILD included malaise (64.0%), anorexia (59.2%), jaundice (58.0%), dark urine (57.2%), nausea (35.2%), pruritus (18.3%) and fever (12.2%), but 13.5% patients were asymptomatic.