Intra-abdominal Infections After Abdominal Organ Injuries

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.

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