Document Detail


The value of continuous 72-hour peritoneal lavage for peritonitis.
MedLine Citation:
PMID:  2929859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Studies were performed in 120 rabbits to determine whether 72-hour peritoneal lavage is beneficial or harmful in the treatment of peritonitis. Results showed that against a high concentration fecal inoculum (90 percent mortality), peritoneal lavage containing gentamicin and clindamycin reduced mortality to 10 to 20 percent (p less than 0.05). Parenteral antibiotics alone and lavage not containing antibiotics did not decrease mortality. By contrast, against a low fecal inoculum (30 percent mortality), peritoneal lavage containing gentamicin and clindamycin did not alter mortality. However, lavage not containing antibiotics increased mortality to 70 to 80 percent (p less than 0.05). These data demonstrate that continuous peritoneal lavage may be helpful in the treatment of peritonitis provided the lavage solution contains antibiotics and may be harmful if it does not contain antibiotics.
Authors:
P B Dobrin; P O'Keefe; W Tatarowicz; M Stachowski; R J Freeark
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  157     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1989 Apr 
Date Detail:
Created Date:  1989-05-10     Completed Date:  1989-05-10     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  368-71; discussion 371     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Loyola University Medical Center, Maywood, Illinois 60153.
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MeSH Terms
Descriptor/Qualifier:
Animals
Bacterial Infections / drug therapy,  microbiology,  therapy
Clindamycin / administration & dosage,  therapeutic use
Drug Therapy, Combination / therapeutic use
Gentamicins / administration & dosage,  therapeutic use
Male
Peritoneal Lavage*
Peritonitis / drug therapy,  microbiology,  therapy*
Rabbits
Time Factors
Chemical
Reg. No./Substance:
0/Gentamicins; 18323-44-9/Clindamycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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