2 types of abdominal infection
peritonitis
abscess
What is the source of secondary peritonitis
- gut!
ways in which bacteria can leak out of the gut
cancer
inflammation
injury
ulcer
example of visceral abscess
liver
A diagnosis of generalized peritonitis mandates urgent abdo operation except (2)
- acute pancreatitis, ruptured AA, primary peritonitis
- Perforated duodenal ulcer
colonoscopic perforation
Prognosis in secondary peritonitis
- 20-30% die
Survivors of secondary peritonitis have complications which include
renal failure
ARDS/pulmonary complications/pneumothorax/
psychological devastation
2 features that make you suspect abdominal infection
Hypothermia
Free air
4 risk factors for peritonitis
- Post op
- Old
- Immune suppressed
- reduced CNS function
untreated abdo infection can lead to
Multiple organ dysfunction
abdo wall challenges
- weak tissue
- bowel edema
- ## contamination
residual abdo wall problems
- fistula
skin and fascia infections
hernia
Line infections can be due to
Staph aureus
Abx for abdo infection should target which bacteria
B. fragilis and E coli
