Secondary peritonitis primary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Primary [[antibiotic]] prophylaxis against peritonitis is indicated in most intra-abdominal operations whether [[elective]] or [[Exploratory surgery|acute exploration]]. | |||
==Primary Prevention== | ==Primary Prevention== | ||
Primary prevention for secondary peritonitis with antibiotic prophylaxis is required in patients with any of the following conditions:<ref name="pmid12356803">{{cite journal| author=Sotto A, Lefrant JY, Fabbro-Peray P, Muller L, Tafuri J, Navarro F et al.| title=Evaluation of antimicrobial therapy management of 120 consecutive patients with secondary peritonitis. | journal=J Antimicrob Chemother | year= 2002 | volume= 50 | issue= 4 | pages= 569-76 | pmid=12356803 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12356803 }} </ref><ref name="pmid20034345">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 2 | pages= 133-64 | pmid=20034345 | doi=10.1086/649554 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20034345 }} </ref> | [[Primary prevention]] for secondary peritonitis with [[Antibiotic|antibiotic prophylaxis]] is required in patients with any of the following conditions:<ref name="pmid12356803">{{cite journal| author=Sotto A, Lefrant JY, Fabbro-Peray P, Muller L, Tafuri J, Navarro F et al.| title=Evaluation of antimicrobial therapy management of 120 consecutive patients with secondary peritonitis. | journal=J Antimicrob Chemother | year= 2002 | volume= 50 | issue= 4 | pages= 569-76 | pmid=12356803 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12356803 }} </ref><ref name="pmid20034345">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 2 | pages= 133-64 | pmid=20034345 | doi=10.1086/649554 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20034345 }} </ref> | ||
* Patients undergoing elective gastrointestinal or genitourinary surgery, most commonly colonic surgery<ref name="pmid9356595">{{cite journal| author=| title=Antimicrobial prophylaxis in surgery. | journal=Med Lett Drugs Ther | year= 1997 | volume= 39 | issue= 1012 | pages= 97-101 | pmid=9356595 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9356595 }} </ref> | * Patients undergoing [[Elective surgery|elective gastrointestinal or genitourinary surgery]], most commonly colonic surgery<ref name="pmid9356595">{{cite journal| author=| title=Antimicrobial prophylaxis in surgery. | journal=Med Lett Drugs Ther | year= 1997 | volume= 39 | issue= 1012 | pages= 97-101 | pmid=9356595 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9356595 }} </ref> | ||
* Elderly patients with acute cholecystitis , dysfunctional gallbladder, obstructive jaundice , or choledocholithiasis and who are going for biliary surgery | * Elderly patients with [[acute cholecystitis]] , [[Gallbladder disease|dysfunctional gallbladder]], [[obstructive jaundice]] , or [[choledocholithiasis]] and who are going for biliary surgery | ||
* Recent history of abdominal trauma but without explorative laparotomy | * Recent history of abdominal trauma but without [[Laparotomy|explorative laparotomy]] | ||
Antibiotic of choice for prophylaxis:<ref name="pmid9356595">{{cite journal| author=| title=Antimicrobial prophylaxis in surgery. | journal=Med Lett Drugs Ther | year= 1997 | volume= 39 | issue= 1012 | pages= 97-101 | pmid=9356595 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9356595 }} </ref> | [[Antibiotic]] of choice for prophylaxis:<ref name="pmid9356595">{{cite journal| author=| title=Antimicrobial prophylaxis in surgery. | journal=Med Lett Drugs Ther | year= 1997 | volume= 39 | issue= 1012 | pages= 97-101 | pmid=9356595 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9356595 }} </ref> | ||
* | * [[Cefazolin]] | ||
* Cefotetan | * [[Cefotetan]] | ||
* Neomycin plus erythromycin | * [[Neomycin]] plus [[erythromycin]] | ||
==References== | ==References== | ||
Revision as of 13:49, 28 April 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]
Overview
Primary antibiotic prophylaxis against peritonitis is indicated in most intra-abdominal operations whether elective or acute exploration.
Primary Prevention
Primary prevention for secondary peritonitis with antibiotic prophylaxis is required in patients with any of the following conditions:[1][2]
- Patients undergoing elective gastrointestinal or genitourinary surgery, most commonly colonic surgery[3]
- Elderly patients with acute cholecystitis , dysfunctional gallbladder, obstructive jaundice , or choledocholithiasis and who are going for biliary surgery
- Recent history of abdominal trauma but without explorative laparotomy
Antibiotic of choice for prophylaxis:[3]
References
- ↑ Sotto A, Lefrant JY, Fabbro-Peray P, Muller L, Tafuri J, Navarro F; et al. (2002). "Evaluation of antimicrobial therapy management of 120 consecutive patients with secondary peritonitis". J Antimicrob Chemother. 50 (4): 569–76. PMID 12356803.
- ↑ Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ; et al. (2010). "Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America". Clin Infect Dis. 50 (2): 133–64. doi:10.1086/649554. PMID 20034345.
- ↑ 3.0 3.1 "Antimicrobial prophylaxis in surgery". Med Lett Drugs Ther. 39 (1012): 97–101. 1997. PMID 9356595.