Document Detail

Tertiary peritonitis: as difficult to define as it is to treat.
MedLine Citation:
PMID:  21269607     Owner:  NLM     Status:  Publisher    
Tertiary peritonitis is the most delayed and severe outcome of patients with complicated intra-abdominal infections. The major difficulty lies in giving a common, precise and consensus definition in order to know when to make its diagnosis and how it can be avoided and/or treated. This condition requires early and repeated surgery, wide spectrum antibiotic therapy against multi-resistant bacteria and intensive systemic support measures. Despite all this, the prognosis is extremely poor since it has a mortality which can reach up to 60%, with preventions being the most important measure to avoid it developing. In this article, we have made a specific review of tertiary peritonitis, of the accepted definitions, the risk factors, its pathophysiology, the microbiological flora involved, and its treatment.
Alejandro Martín-López; Sergio Castaño-Ávila; Francisco Javier Maynar-Moliner; José Antonio Urturi-Matos; Alberto Manzano-Ramírez; Héctor Pablo Martín-López
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-24
Journal Detail:
Title:  Cirugia espanola     Volume:  -     ISSN:  1578-147X     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254104     Medline TA:  Cir Esp     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2009 AEC. Published by Elsevier Espana. All rights reserved.
Servicio de Medicina Intensiva, Hospital Santiago, Vitoria-Gasteiz, Álava, España.
Vernacular Title:
Peritonitis terciaria: tan difícil de definir como de tratar.
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