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
