Abdominal SepsisClassification and Principals of Treatment
Abdominal Sepsis: Classification and Principals of Treatment
Simpson, Amelia; Kobayashi, Leslie; Coimbra, Raul
2017-06-23 00:00:00
[Intra-abdominal infection (IAI) is the second most common cause of severe sepsis in the intensive care unit (ICU). Even with optimal care, this disease process confers significant morbidity and mortality. The most common causes of IAI involve inflammation and perforation of the gastrointestinal tract including appendicitis, diverticulitis, and peptic ulcer disease. Other etiologies often more challenging to treat include postoperative complications, iatrogenic procedural complications, and traumatic injuries. Treatment is multimodal including, most importantly, source control in conjunction with timely systemic antimicrobial therapy, resuscitation, and supportive care. Given the wide spectrum of disease from focal isolated inflammation to diffuse peritonitis with septic shock and organ failure, the treatment is varied and complex. This chapter includes a review of clinical definitions and classification of the disease process as well as a basic overview of treatment.]
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Abdominal SepsisClassification and Principals of Treatment
[Intra-abdominal infection (IAI) is the second most common cause of severe sepsis in the intensive care unit (ICU). Even with optimal care, this disease process confers significant morbidity and mortality. The most common causes of IAI involve inflammation and perforation of the gastrointestinal tract including appendicitis, diverticulitis, and peptic ulcer disease. Other etiologies often more challenging to treat include postoperative complications, iatrogenic procedural complications, and traumatic injuries. Treatment is multimodal including, most importantly, source control in conjunction with timely systemic antimicrobial therapy, resuscitation, and supportive care. Given the wide spectrum of disease from focal isolated inflammation to diffuse peritonitis with septic shock and organ failure, the treatment is varied and complex. This chapter includes a review of clinical definitions and classification of the disease process as well as a basic overview of treatment.]
Published: Jun 23, 2017
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