Jun 30, 2016 abdominal infections are an important challenge for the intensive care physician. Mar 27, 2014 abdominal sepsis represents the hosts systemic inflammatory response to bacterial peritonitis. Abstract sepsis is a syndrome complicating any severe infection, and it is triggered by a variable systemic host response, leading to generalized tissue damage. Doo r, kasper d, panzo r, chtiais, grusby m, sayegh, tzianabus a. Thus, the effective treatment of abdominal sepsis requires surgical control of the leakage from the hollow viscus, removal of infected or necrotic contaminated tissue, drainage of the pus or release of. Numerous conditions can be sources of infection in patients who have sepsis.
Abdominal sepsis occurs as result of intraabdominal. The challenge of intraabdominal sepsis sciencedirect. The term sepsis encompasses a spectrum of disease ranging from systemic inflammatory response syndrome sirs to severe sepsis and multiple organ failure. Mortalidad sepsis severa 912 % shock septico 2040%. A 32yearold female presented with fever and generalised malaise to a rural hospital in ghana. It is associated with significant morbidity and mortality rates, and is the second most common cause of sepsisrelated mortality in the intensive care unit. The patient had previously been diagnosed as having enteric fever from a neighbouring health facility. Sepsis does not have a characteristic clinical picture, and its diagnosis is based in a high suspect index and the verification. Severe sepsis and therapy with activated protein c. Treatment of patients who have complicated intraabdominal infections iais by adequate management, has generally been described to produce satisfactory results. Antimicrobial therapy should be initiated once a patient receives a diagnosis of an intraabdominal infection or once such an infection is considered likely. For patients with septic shock, antibiotics should be administered as soon as. The acute onset of abdominal pain and generalized peritonitis is a serious manifestation of an anastomotic leak and, these patients may quickly progress to septic shock, requiring intensive care monitoring and resuscitation with fluids and inotropic agents.
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