Intra-abdominal infection: Difference between revisions
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= Peritonitis = |
== Peritonitis == |
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== Primary peritonitis == |
=== Primary peritonitis === |
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* [Spontaneous bacterial peritonitis (SBP)](Spontaneous bacterial peritonitis (SBP).md) |
* [Spontaneous bacterial peritonitis (SBP)](Spontaneous bacterial peritonitis (SBP).md) |
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== Secondary peritonitis == |
=== Secondary peritonitis === |
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* Secondary to trauma or perforation |
* Secondary to trauma or perforation |
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* See also STOP IT trial for 4+/-1 days of antibiotics after source control |
* See also STOP IT trial for 4+/-1 days of antibiotics after source control |
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== Tertiary peritonitis == |
=== Tertiary peritonitis === |
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* Ongoing intraabdominal sepsis after appropriate treatment of secondary peritonitis |
* Ongoing intraabdominal sepsis after appropriate treatment of secondary peritonitis |
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* Can also be aseptic without infection but with ongoing inflammation |
* Can also be aseptic without infection but with ongoing inflammation |
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== Peritoneal dialysis-related peritonitis == |
=== Peritoneal dialysis-related peritonitis === |
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= Pyogenic Liver Abscess = |
== Pyogenic Liver Abscess == |
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* Get source control |
* Get source control |
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* Treat for 4-6 weeks, ensuring radiological resolution of abscess |
* Treat for 4-6 weeks, ensuring radiological resolution of abscess |
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= Further Reading = |
== Further Reading == |
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* [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. |
* [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. |
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Revision as of 15:22, 17 August 2019
Peritonitis
Primary peritonitis
- [Spontaneous bacterial peritonitis (SBP)](Spontaneous bacterial peritonitis (SBP).md)
Secondary peritonitis
- 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
Pyogenic Liver Abscess
- Get source control
- Treat for 4-6 weeks, ensuring radiological resolution of abscess
Further Reading
- Canadian practice guidelines for surgical intra-abdominal infections. Can J Infect Dis Med Microbiol. 2010;21(1):11–37.
