Intrabdominal Infection Flashcards
What are the symptoms of an intra-abdominal infection?
Pain Tenderness Change in bowel habits Pyrexia Rigors Nause/emesis Anorexia Malaise Lethargy
Severe sepsis can cause secondary organ dysfunction, what happens to each organ?
Brain - Confusion Lungs - Adult repsiratory distress syndrome Heart - Hypotension Liver - Dysfunction Kidney - Acute kidney injury Vascular - Widespread clotting Acid/base balance - Metabolic acidosis
How do you treat sepsis?
Fluids
Antibiotics
Oxygen
What is the correct name for an infection of the blood stream?
Bacteraemia
or Fungaemia
What can cause community acquired bacteraemia?
E.Coli
Staph Aureus
Strep Pygoenes
What can cause hospital acquired bacteraemia?
E.Coli Staph Aureus Coagulase negative Staph Enetercoccus Pseudomonas aeurignosa Candida spp.
What common bacteria can you find in the mouth?
Strep viridans
Candida sp.
Staph
Anaerobes
What bacteria can you commonly find in the colon?
Coliforms and anaerobes
Which antibiotics do you use for intra-abdominal infections?
IV Amoxcillin + Metranidazole + Gentamicin
Then step down to PO Co-trimoxazole + Metranidazole
Vancomycin used for penicillin allergy