Intra-abdominal infection: Difference between revisions
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Revision as of 01:32, 15 August 2019
Intra-abdominal infections
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.
