[Tertiary peritonitis: as difficult to define as it is to treat].

Cirugía española · Jan 2012

Review

[Tertiary peritonitis: as difficult to define as it is to treat].

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. ⋯ 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.

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- Alejandro Martín-López, Sergio Castaño-Ávila, Francisco Javier Maynar-Moliner, José Antonio Urturi-Matos, Alberto Manzano-Ramírez, and Héctor Pablo Martín-López.
- Servicio de Medicina Intensiva, Hospital Santiago, Vitoria-Gasteiz, Álava, España. alejandro.martinlopez@hotmail.com
- Cir Esp. 2012 Jan 1; 90 (1): 11-6.
AbstractTertiary 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.Copyright © 2009 AEC. Published by Elsevier Espana. All rights reserved.

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[Tertiary peritonitis: as difficult to define as it is to treat].

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