Intra-abdominal infection: Difference between revisions

Latest revision as of 14:43, 10 March 2022

Management

Source control (either surgical or by interventional radiology) is the primary treatment modality, along with adjunctive antibiotics
- Abscesses less than 3 to 6 cm may be treatable with medication alone, without drainage
For uncomplicated infections or infections with good source control, 3 to 5 days of antibiotics following source control is reasonable
Consider empiric coverage for Candida with nosocomial infections, particularly in patients with recent abdominal surgery or anastomotic leak

Canadian practice guidelines for surgical intra-abdominal infections. Can J Infect Dis Med Microbiol. 2010;21(1):11–37.
The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intraabdominal infections. World J Emerg Surg. 2017;12:29. doi: 10.1186/s13017-017-0141-6

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-== Peritonitis ==
+* [[Peritonitis]]
+* [[Liver abscess]]
+== Management ==
-=== Primary peritonitis ===
+* Source control (either surgical or by interventional radiology) is the primary treatment modality, along with adjunctive antibiotics
-* [Spontaneous bacterial peritonitis (SBP)](Spontaneous bacterial peritonitis (SBP).md)
+**Abscesses less than 3 to 6 cm may be treatable with medication alone, without drainage
+*For uncomplicated infections or infections with good source control, 3 to 5 days of antibiotics following source control is reasonable
-=== Secondary peritonitis ===
+* Consider empiric coverage for [[Candida]] with nosocomial infections, particularly in patients with recent abdominal surgery or anastomotic leak
-* Secondary to trauma or perforation
-* See also STOP IT trial for 4+/-1 days of antibiotics after source control
-=== Tertiary peritonitis ===
-* Ongoing intraabdominal sepsis after appropriate treatment of secondary peritonitis
-* Organisms include resistant Gram-positives (Enterococcus, coagulase-negative Staphylococci), resistant Gram-negatives (ESBLs), and Candida
-* Can also be aseptic without infection but with ongoing inflammation
-=== Peritoneal dialysis-related peritonitis ===
-== Pyogenic Liver Abscess ==
-* Get source control
-* Treat for 4-6 weeks, ensuring radiological resolution of abscess
 == Further Reading ==
 * [https://doi.org/10.1155/2010/580340 Canadian practice guidelines for surgical intra-abdominal infections]. ''Can J Infect Dis Med Microbiol''. 2010;21(1):11–37.
+*The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intraabdominal infections. ''World J Emerg Surg.'' 2017;12:29. doi: [https://doi.org/10.1186/s13017-017-0141-6 10.1186/s13017-017-0141-6]
 [[Category:Intra-abdominal infections]]