Current Trauma Reports

, Volume 3, Issue 4, pp 300–307 | Cite as

Intra-abdominal Infections After Abdominal Organ Injuries

Infection and Trauma (M Sartelli, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Infection and Trauma

Abstract

Purpose of Review

This review is focusing on intra-abdominal infections after abdominal injuries which are a major source of morbidity following abdominal trauma.

Recent Findings

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.

Summary

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.

Keywords

Intra-abdominal infections Trauma infections Abdominal trauma infections Abdominal trauma 

Notes

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.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Division of Trauma and Acute Care SurgeryFundacion Valle del LiliCaliColombia
  2. 2.Professor of SurgeryUniversidad del ValleCaliColombia
  3. 3.Clinical Research CenterFundación Valle del LiliCaliColombia

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