[Current status of diagnostics and therapy of complicated intraabdominal infections]

Zentralbl Chir. 2007 Oct;132(5):419-26. doi: 10.1055/s-2007-981270.
[Article in German]

Abstract

Regardless of improved diagnostics and therapeutic options, complicated intraabdominal infections remain a challenge in medicine. The prognosis of secondary peritonitis depends upon diagnosis and therapy in time. Diagnostic gold-standard is the computed tomography enhanced by contrast medium. Antimicrobial and supportive therapy is initiated before surgery and should be continued throughout and after the operation. Surgery aims on clearing the focus with a one-step-procedure in order to reduce perioperative morbidity and mortality.

Publication types

  • English Abstract

MeSH terms

  • Abdomen, Acute / etiology
  • Abdominal Abscess / diagnosis
  • Abdominal Abscess / mortality
  • Abdominal Abscess / surgery
  • Adult
  • Age Factors
  • Anti-Bacterial Agents / therapeutic use
  • Bacterial Infections / diagnosis
  • Bacterial Infections / mortality
  • Bacterial Infections / surgery*
  • Child
  • Combined Modality Therapy
  • Cross-Sectional Studies
  • Female
  • Health Status Indicators
  • Humans
  • Incidence
  • Male
  • Peritoneal Lavage
  • Peritonitis / diagnosis
  • Peritonitis / mortality
  • Peritonitis / surgery*
  • Reoperation
  • Risk Factors
  • Sex Factors
  • Surgical Wound Infection / diagnosis
  • Surgical Wound Infection / mortality
  • Surgical Wound Infection / surgery*
  • Survival Analysis
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents