intra abdominal infections

Question 1

what is IAI?

Answer 1

infection that contained within the abdominal cavity (peritoneal cavity or retroperitoneal space

Question 2

intraperitoneal completely covered with

Answer 2

visceral peritoneum

Question 3

retroperitoneal partially covered

Answer 3

peritoneum

Question 4

infection and inflammation of the appendix

Answer 4

appenditis

Question 5

diverticulitis

Answer 5

inflammation and infection of diverticula, small pouches that can develop in the walls of the colon

Question 6

infection and inflammation of the bladder

Answer 6

cholecystitis

Question 7

peritonitis

Answer 7

the acute inflammatory response of the peritoneal lining to microorganisms, chemical, irradiation, or foreign body injury

Question 8

peritonitis have

Answer 8

3 (primary peritonitis, secondary peritonitis, tertiary peritonitis)

Question 9

primary peritonitis also called

Answer 9

spontaneous bacterial peritonitis (SBP)

Question 10

secondary peritonitis may involve

Answer 10

perforation of GIT

Question 11

persistent or recurrent infection after adequate initial therapy

Answer 11

tertiary peritonitis

Question 12

the most common form of peritonitis encountered in clinical practice

Answer 12

secondary peritonitis

Question 13

primary peritonitis develops in 10% to 30% of hospitalized patients with

Answer 13

alcoholic cirrhosis

Question 14

cirrhosis peritonitis also called

Answer 14

spontaneous bacterial peritonitis (SBP)

Question 15

cirrhosis peritonitis cause due to

Answer 15

translocation of bacteria from gut into the bloodstream and then into ascitic fluid

Question 16

cirrhosis peritonitis typically occurs to

Answer 16

patient with advanced liver cirrhosis have ascites

Question 17

example of secondary peritonitis

Answer 17

perforation peritonitis

Question 18

perforation peritonitis occur when there is

Answer 18

hole or perforation in an organ within the abdominal cavity allowing its content to spill into peritoneal space

Question 19

symptom of peritonitis

Answer 19

extreme thirst, fatigue. nausea, vomitting

Question 20

general clinical presentation of primary peritonitis

Answer 20

not in acute distress, particularly with peritoneal dialysis

Question 21

general clinical presentation of secondary peritonitis

Answer 21

patient in acute distress

Question 22

signs of clinical presentation of secondary peritonitis

Answer 22

tachypnea and tachycardia are present

Question 23

community acquired preferred treatment

Answer 23

amoxicillin/clavunate 1.2gm q8h

Question 24

common organism of community acquired

Answer 24

enterobacteriaceae

Question 25

community acquired alternative treatment

Answer 25

3rd gen cephalosporins cefoperazone 1-2gm IV q12h or cefotaxime 2gm IV q8h plus minus metronidazole 500mg IV q8h

Question 26

hospital acquired suggested treatment

Answer 26

piperacillin/tazobactam 4.5gm IV q6-8h

Question 27

factors should be considered when selecting antibiotics for intrabdominal infections

Answer 27

severity of infections antimicrobial spectrum type of infection

Question 28

patient critically ill should receive

Answer 28

empiric antimicrobial therapy

Question 29

preferred treatment for appendicitis (secondary peritonitis)

Answer 29

cefuroxime 1.5gm IVq8h + metronidazole 500mg IV q8h