Intra-abdominal infections

Question 1

What is primary peritonitis? Common causes?

Answer 1

No evidence of a break in the integrity of GI tract. Peritoneal dialysis, cirrhosis with ascites

Question 2

What is secondary peritonitis?

Answer 2

A focal infection developing in conjunction with inflammation of GI tract

Question 3

What is tertiary peritonitis?

Answer 3

Persistent or recurrent infection after treatment of primary or secondary peritonitis

Question 4

True or false: Primary peritonitis is often monomicrobial and caused by gram negative organisms

Answer 4

True

Question 5

True or false: Secondary and tertiary peritonitis are often monomicrobial and caused by gram negative organisms and anaerobes

Answer 5

False. Often polymicrobial via gram negative organisms and anaerobes

Question 6

Addition of what to antimicrobial therapy is associated with decreased mortality in spontaneous bacterial peritonitis?

Answer 6

Albumin

Question 7

What characteristics define Charcot’s triad in biliary tract infection?

Answer 7

. RIght upper quadrant pain
. Fever
. Jaundice*

Question 8

True or false: Enterococcal activity is required for community-acquired biliary infection

Answer 8

False