Intra-abdominal Infections After Abdominal Organ Injuries
Purpose of Review
This review is focusing on intra-abdominal infections after abdominal injuries which are a major source of morbidity following abdominal trauma.
Intra-abdominal infections after abdominal injuries pose a diagnostic and therapeutic challenge to the trauma surgeon. Its diagnosis is based on clinical and radiological findings. Once an intra-abdominal infection is diagnosed, the next step is to achieve prompt and efficient source control coupled with early initiation of broad-spectrum antibiotics. Over the past several years, research has found some predictors for intra-abdominal infections after abdominal trauma. However, the role of prophylactic and therapeutic antibiotics remains unclear. The operative strategy for these patients is largely based on the trauma surgeon experience. However, temporary abdominal closure with negative pressure wound therapy seems to be the best approach to managing post-traumatic intra-abdominal infections.
Early administration of broad-spectrum antimicrobials coupled with rapid and efficient source control is of paramount importance for improving outcomes in patients with post-traumatic intra-abdominal infections.
KeywordsIntra-abdominal infections Trauma infections Abdominal trauma infections Abdominal trauma
Compliance with Ethical Standards
Conflict of Interest
Drs. Ordoñez and Manzano declare no conflicts of interest relevant to this manuscript.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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