Intra-abdominal infections; brief notes
Peritonitis may be primary, secondary or
tertiary
Primary
Spontaneous bacterial peritonitis
Monomicrobial; commonly E. coli or klebsiella
Managed medically with antibiotics.
Secondary
Extension of infection from intra-abdominal structures
ie common surgical problem; polymicrobial and requires
source control
- E coli, klebsiella, bacteroides fragilis,
- bacterial resistance becomming problematic; enterobactera,
pseudomonas.
Tertiary
Immunocompromised pts
Recurrent or persistent infections fail to clear despite adequate
therapy.