Peritonitis: Difference between revisions
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== Clinical |
== Clinical Manifestations == |
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=== Primary peritonitis === |
=== Primary peritonitis === |
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* See [[Spontaneous bacterial peritonitis]] |
* See [[Spontaneous bacterial peritonitis]] |
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Revision as of 19:29, 22 July 2020
Clinical Manifestations
Primary peritonitis
Secondary peritonitis
- Secondary to trauma or perforation
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
Management
- Primary: see spontaneous bacterial peritonitis management
- Secondary:
- Source control
- Broad-spectrum antibiotics
- See also STOP IT trial for 4+/-1 days of antibiotics after source control
