Secondary peritonitis primary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]
Overview
Primary antibiotic prophylaxis against peritonitis is indicated in most intra-abdominal operations whether elective or acute exploration.
Primary Prevention
Primary prevention for secondary peritonitis with antibiotic prophylaxis is required in patients with any of the following conditions:[1][2]
- Patients undergoing elective gastrointestinal or genitourinary surgery, most commonly colonic surgery[3]
- Elderly patients with acute cholecystitis , dysfunctional gallbladder, obstructive jaundice , or choledocholithiasis and who are going for biliary surgery
- Recent history of abdominal trauma but without explorative laparotomy
Antibiotic of choice for prophylaxis:[3]
References
- ↑ Sotto A, Lefrant JY, Fabbro-Peray P, Muller L, Tafuri J, Navarro F; et al. (2002). "Evaluation of antimicrobial therapy management of 120 consecutive patients with secondary peritonitis". J Antimicrob Chemother. 50 (4): 569–76. PMID 12356803.
- ↑ Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ; et al. (2010). "Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America". Clin Infect Dis. 50 (2): 133–64. doi:10.1086/649554. PMID 20034345.
- ↑ 3.0 3.1 "Antimicrobial prophylaxis in surgery". Med Lett Drugs Ther. 39 (1012): 97–101. 1997. PMID 9356595.