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Flashcards in intraabdominal infections Deck (25)
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1

where do intraabdominal infections take place

peritoneal cavity or
retroperitoneal space

2

what are the 2 biliary tract infections

cholecystitis
cholangitis

3

what is an acute inflammation of the gallbladder

acute cholecystitis

4

what usually causes acute cholecystitis

gallstones

5

what is acute inflammation of the bile duct

acute cholangitis

6

what usually causes acute cholangitis

bile duct stones (choledocholithiasis

7

what is charcot's triad

1 fever
2. jaundice
3. right upper quadrant pain

8

what does charcots triad indicate

cholangitis

9

what does a positive murphys sign indicated

cholecystitis

10

what are the most likely organisms that cause biliary tract infections

gram neg. rods
1. e. coli
2. klebsoe;;a
3. enterobacter

11

what are the supportive measures for biliary tract infections

1. fluids
2. electrolytes
3. pain meds
4. antibiotics

12

what is treatment for community acquired acute cholecystitis (mild to moderate)

cefazolin
cefuroxime
or
ceftriaxone
-always monotherapy

13

what is recommended for monotherapy treatment of community acquired acute cholecystitis in elderly or immunocompromised state

imipenem-cilastatin
meropenem
doripenem
or
piperacillin-tazobactam

14

what is recommended for dual therapy treatment of community acquired acute cholecystitis in elderly or immunocompromised state

ciprofloxacin, levofloxacin or cefepime
plus
metronidazole

15

what is the monotherapy treatment options for acute cholangitis

imipenem-cilastatin
meropenem
doripenem
or
piperacillin-tazobactam

16

what is the dual therapy treatment options for acute cholangitis

ciprofloxacin, levofloxacin or cefepime
plus
metronidazole

17

what are 2 extra biliary infections

peritonitis
intraabdominal abscess

18

what is anm acute inflammatory response of the peritoneal lining to microorganisms

peritonitis

19

what is a purulent collection of fluid containing necrotic debris, and bacteria

intraabdominal abscess

20

what form of peritonitis is due to contamination of peritoneum with GI microorganisms

secondary peritonitis

21

what type of infection is likely for someon who has had appendicitis, perforated ulcer, or abdominal trauma

secondary peritonitis

22

what are the usual organisms that cause community acquired extra-biliary infections

e. coli
klebsiella
streptococcus
bacteroides

23

what is duration of therapy for extra biliary infections

usually 4-7 days

24

how are community acquired extra biliary infections treated with monotherapy

1. cefoxitin
2. ertapenem
3. moxifloxacin
4. tigecycline
5. ticarcillin-clavulanic acid

25

how are community acquired extra biliary infections treated with dual therapy

cefazolin, cefuroxime, ceftriaxone, ciprofloxacin, levofloxacin
plus
metronidazole