What is complicated intra-abdominal infections?

What is complicated intra-abdominal infections?

According to the Infectious Diseases Society of America (IDSA), complicated IAI (cIAI) is defined as an infection that extends beyond the wall of a hollow viscus of origin into the abdominal cavity while being associated with an abscess or peritonitis.

What is the most common intra-abdominal infection?

The most common source of infection in community acquired intra-abdominal infections is the appendix, followed by the colon, and then the stomach. Dehiscences complicate 5-10% of intra-abdominal bowel anastomoses, and are associated with a mortality increase [3].

What bacteria cause intra-abdominal infections?

Nearly all intra-abdominal infections are caused by multiple microorganisms that constitute the intestinal flora (aerobes and facultative and obligate anaerobes, with Enterobacteriaceae, enterococci and Bacteroides fragilis isolated most frequently).

What causes intra-abdominal sepsis?

The cause of intra-abdominal sepsis and abscesses is wide. Examples include: Upper gastrointestinal tract (oesophagus, stomach and duodenum) – malignancy, trauma, peptic ulcer perforation, iatrogenic (eg, endoscopy).

What is meant by intra-abdominal?

Medical Definition of intra-abdominal : situated within, occurring within, or administered by entering the abdomen intra-abdominal pressure an intra-abdominal injection.

What does intra-abdominal pathology mean?

Intra-abdominal sepsis is an inflammation of the peritoneum caused by pathogenic microorganisms and their products. The inflammatory process may be localized (abscess) or diffuse in nature. (See Pathophysiology.)

What is considered intra-abdominal?

What is an intra-abdominal abscess? An intra-abdominal abscess is a collection of pus or infected fluid that is surrounded by inflamed tissue inside the belly. It can involve any abdominal organ, or it can settle in the folds of the bowel.

What is the most common chief complaint of a patient with an intra-abdominal infection?

Abdominal pain, which may be acute or insidious, is the usual chief complaint of patients with peritonitis. Initially, the pain may be dull and poorly localized (visceral peritoneum); often, it progresses to steady, severe, and more localized pain (parietal peritoneum).

What are the red flags for sepsis?

Severe breathlessness or sleepiness. It feels like you’re going to die or pass out. Skin mottled or discoloured. An extremely high or a very low temperature; repeated vomiting; seizures; and a rash which doesn’t fade when you press a glass against it are also possible ‘red flags’.

What is intra-abdominal pressure?

Intra-abdominal pressure — Intra-abdominal pressure (IAP) is the steady state pressure concealed within the abdominal cavity [1]. For most critically ill patients, an IAP of 5 to 7 mmHg is considered normal.

What is the most common chief complaint of a patient with an intra-abdominal infection Why?