What is intra-abdominal infections?
Intra-abdominal infection (IAI) is a broad term that encompasses a number of infectious processes, including peritonitis, diverticulitis, cholecystitis, cholangitis, and pancreatitis. A common cause of IAI is appendicitis.
What is the most common intra-abdominal infection?
The most common source of infection in community acquired intra-abdominal infections is the appendix, followed by the colon, and then the stomach. Dehiscences complicate 5-10% of intra-abdominal bowel anastomoses, and are associated with a mortality increase [3].
What bacteria causes intra-abdominal infection?
Nearly all intra-abdominal infections are caused by multiple microorganisms that constitute the intestinal flora (aerobes and facultative and obligate anaerobes, with Enterobacteriaceae, enterococci and Bacteroides fragilis isolated most frequently).
Where is the intra-abdominal area?
What is an intra-abdominal abscess? An intra-abdominal abscess is a collection of pus or infected fluid that is surrounded by inflamed tissue inside the belly. It can involve any abdominal organ. Or it can settle in the folds of the bowel.
How is intra-abdominal infection treated?
Patients with severe community-acquired intra-abdominal infection should be treated empirically with antimicrobial regimens that have broad-spectrum activity against gram-negative organisms, such as meropenem (Merrem), imipenem/cilastatin (Primaxin), doripenem (Doribax), or piperacillin/tazobactam (Zosyn) as single …
What causes intra-abdominal sepsis?
Intra-abdominal sepsis from a perforated viscus (ie, secondary peritonitis or suppurative peritonitis) results from direct spillage of luminal contents into the peritoneum (eg, perforated peptic ulcer, diverticulitis, appendicitis, iatrogenic perforation).
Which antibiotic is best for abdominal infection?
How long do you treat intra-abdominal infection?
Duration: after adequate drainage, at least 4-7 days of antibiotic coverage is indicated, with duration in part based on resolution of fever and leukocytosis, severity of infection, and additional indicators of clinical response. Duration of therapy has not been subjected to rigorous study.
What causes abdominal infection?
Infection of small, bulging pouches in your digestive tract (diverticulosis) may cause peritonitis if one of the pouches ruptures, spilling intestinal waste into your abdominal cavity. Trauma. Injury or trauma may cause peritonitis by allowing bacteria or chemicals from other parts of your body to enter the peritoneum.
How is intra-abdominal sepsis diagnosed?
Intra-abdominal sepsis and abscess symptoms Symptoms may include fever, pain anywhere in the abdomen, diarrhoea or ileus. A subphrenic abscess can cause chest pain and also shoulder pain. Psoas muscle abscesses may lead to flank pain which radiates to the groin. The principal feature of peritonitis is abdominal pain.
What is the treatment for stomach abscess?
antibiotics
What are the symptoms of an abdominal abscess?
Abdominal pain
What causes an abscess in the stomach?
You have a weakened immune system or you were recently hospitalized.
How to perform an abdominal exam for appendicitis?
The psoas sign. The psoas sign involves RLQ pain on passive extension of the hip while the patient is in a left lateral decubitus position.