Intrabdominal Infection Flashcards
1
Q
What are the symptoms of an intra-abdominal infection?
A
Pain Tenderness Change in bowel habits Pyrexia Rigors Nause/emesis Anorexia Malaise Lethargy
2
Q
Severe sepsis can cause secondary organ dysfunction, what happens to each organ?
A
Brain - Confusion Lungs - Adult repsiratory distress syndrome Heart - Hypotension Liver - Dysfunction Kidney - Acute kidney injury Vascular - Widespread clotting Acid/base balance - Metabolic acidosis
3
Q
How do you treat sepsis?
A
Fluids
Antibiotics
Oxygen
4
Q
What is the correct name for an infection of the blood stream?
A
Bacteraemia
or Fungaemia
5
Q
What can cause community acquired bacteraemia?
A
E.Coli
Staph Aureus
Strep Pygoenes
6
Q
What can cause hospital acquired bacteraemia?
A
E.Coli Staph Aureus Coagulase negative Staph Enetercoccus Pseudomonas aeurignosa Candida spp.
7
Q
What common bacteria can you find in the mouth?
A
Strep viridans
Candida sp.
Staph
Anaerobes
8
Q
What bacteria can you commonly find in the colon?
A
Coliforms and anaerobes
9
Q
Which antibiotics do you use for intra-abdominal infections?
A
IV Amoxcillin + Metranidazole + Gentamicin
Then step down to PO Co-trimoxazole + Metranidazole
Vancomycin used for penicillin allergy
