By Joseph Solomkin, Thomas L. Husted, Hannes Wacha
A clinician's instruction for intra-abdominal infections written through specialists within the field.
- A guide to aid physicians to quick realize and higher comprehend the pathogenesis of intra-abdominal
- comprises numerous fine quality black and white and colour photos from real-life medical cases
- Adheres to an easy layout to function crucial and speedy reference consultant for all non-surgical citizens and physicians
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Extra info for Clinician's Manual on Intra-abdominal Infections
2%) Klebsiella spp. 9%) Candida spp. 6%) Staphylococcus spp. 1 Organisms reported to cause secondary peritonitis. NK, not known; PEG, Paul– Erhlich Foundation for Chemotherapy. Data from Wacha et al. Risk factors associated with intraabdominal infections: a prospective multicenter study. Langenbecks Arch Surg 1999; 384:24–32. &/5 t Antimicrobial susceptibility and resistance Susceptibility testing Susceptibility testing is used to determine the likely success of antibiotic therapy in a patient.
There is also a lower risk of morbidity when an operation is carried out early using a laparoscope. 6. Complicated cholecystitis may require emergency surgery if generalized peritonitis or sepsis develop, although these patients may be better served by percutaneous cholecystostomy drainage, which results in an improvement in 75% of patients. A delayed cholecystectomy can then be performed when the patient’s clinical condition improves; however, this is a technically more difficult procedure and can result in higher morbidity and mortality.
The best tool in deciding when to operate remains the experienced surgeon. 12 Algorithm for the evaluation of pain in the right lower quadrant in suspected cases of acute appendicitis. Reproduced with permission from Paulson et al. Suspected appendicitis. N Engl J Med 2003; 348:236–42 © Massachusetts Medical Society. &/5 0'41&$*'*$ %*4&"4&4 t Resuscitation Patients suspected of acute appendicitis should receive pre-operative intravenous fluid resuscitation and intravenous antibiotics effective against polymicrobial intra-abdominal bacteria while they are being prepared for the operating room.