Professional Documents
Culture Documents
City of Makati
UNIVERSITY OF MAKATI
COLLEGE OF ALLIED HEALTH STUDIES
CENTER OF NURSING
J.P. Rizal Extension, West Rembo Makati City 1215
Telephone No.: (+632) – 881 – 1571
SUBMITTED BY:
HANIFA BALANGI
III-AN
Intra-abdominal infections
Are the second most common cause of infectious mortality in intensive
care units. Complicated intra-abdominal infection, which extends into
the peritoneal space, is associated with abscess formation and peritonitis.
Uncomplicated infection, which involves intramural inflammation of the
gastrointestinal tract, may progress to complicated infection if left
untreated.
Is a broad term that encompasses a number of infectious processes,
including peritonitis, diverticulitis, cholecystitis, cholangitis, and
pancreatitis. A common cause of IAI is appendicitis.
Sign and Symptoms
In patients with intra-abdominal infections, early warning scores
associated with abdominal signs and symptoms such as abdominal pain
and abdominal rigidity can screen patients needing immediate acute care
surgery.
Causes
Intra-abdominal infections can be caused by facultative and obligate
anaerobic organisms, gram-negative facultative organism
(Enterobacteriaceae with E. coli at the first place), other gram-negative
bacilli and Enterococci. Anaerobic bacteria are 1000 times more
common than aerobes.
Treatment and Duration of Therapy
Source control is a vital nonpharmacologic intervention for the treatment
of IAIs. Source control is defined as interventional procedures used to
help prevent or contain the source of the IAI. Examples may include
drainage of an abscess, debridement of necrotic tissue, or surgical repair
of perforations. For uncomplicated IAI, source control may serve as the
mainstay of treatment with minimal antibiotic use.
Nursing Management.
Antimicrobial therapy with agents effective against facultative and
aerobic gram-negative organisms and anaerobic organisms should be
initiated.
Laparoscopy or open appendectomy should be performed as soon as
possible.