Surgical Infection Stratification System for Intra-abdominal Infection

Dellinger, E. Patchen; Wertz, Margaret J.; Meakins, Jonathan L.; Solomkin, Joseph S.; Allo, Maria D.; Howard, Richard J.; Simmons, Richard L.

doi:10.1001/archsurg.1985.01390250015003

Cited by 189 publications

(73 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mortality rate in our study was 53.4%, or more than half of patients ( Table 4). This result is higher than Dellinger 29% [3] and Chichom 29.8% [22] but lower than Nel 71% [4]. The causes of death in our series were acute renal failure, hepatic and septic shock.…”

Section: Discussioncontrasting

confidence: 57%

Post-Operative Peritonitis: Diagnostic Problems, Morbidity and Mortality in Developing Countries

Traoré¹,

Dembélé²,

Aoyama³

et al. 2014

View full text Add to dashboard Cite

Goal: To study the diagnostic difficulties and post-operative morbidity and mortality of peritonitis. Patients and Methods: Retrospective study about the records of adult patients operated on between 1999 and 2013 whose diagnosis of post-operative peritonitis was made. Results: We achieved 23,573 lanterns and recorded 148 cases of postoperative peritonitis or 0.62%. The medium age was 37.1 ± 17.7 years and the sex ratio was 1.2. The delay between the initial intervention and reoperation was less than 5 days. Factors occurrence of postoperative peritonitis were those related to the initial surgery: septic context 70.8%, emergency surgery 81.1% under the seat mesocolic 25% and 20.3% initial surgical technique. The diagnosis was made preoperatively in 62.2% (n = 92). Ultrasound has found an effusion in 29.7% (n = 44). Cytobactériologic review identified germs in 85.1% (n = 126) and sterile in 12.9% of patients (n = 22). The most frequent etiologies were: 22.9% anastigmatic leak (n = 34), the phoenix abscess in 17.6% (n = 26), iatrogenic perforation 13.5% (n = 20) and digestive fistula 25% (n = 37). Other causes were the stoical necrosis 12.2% (n = 18) and evisceration 8.8% (n = 13). We performed a digestive stoma in 61% (n = 89), a closure of the abdomen bolsters in 8.8% (n = 13), a suture in iatrogenic perforation in 13.5% (n = 20) and washing with drainage in patients with phoenix abscess in 17.6% (n = 26). Morbidity was 22.3% and 53.4% mortality. Conclusion: The diagnosis of post-operative peritonitis is difficult in a developing country. Morbidity and mortality is high. Improved diagnostic tools are needed.

show abstract

Section: Discussioncontrasting

confidence: 57%

Post-Operative Peritonitis: Diagnostic Problems, Morbidity and Mortality in Developing Countries

Traoré¹,

Dembélé²,

Aoyama³

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Interpretation and comparison of results were made difficult by variable diagnostic criteria, ungraded severity of disease and unclear outcome measures 1,[13][14][15] . Meakins and associates aptly summarized the situation by showing the gross disparity between published mortality rate of 3.5% for antibiotic trials and rates up to 60% for intraabdominal infection associated with organ failure 13 .…”

Section: The Genesis Of Scoresmentioning

confidence: 99%

Assessing the severity of intraabdominal Infections; the value of APACHE II Scoring System

Ukwenya¹,

Muhammad²,

Nmadu³

2010

Nigerian Journal of Surgical Research

View full text Add to dashboard Cite

Intra -abdominal infection continues to defy advances in surgical care with considerable mortality. It is characterized by a spectrum of presentations of varying disease severity. The need to ensure standards for comparing studies and antibiotic trials on intraabdominal infection led to the emergence of several scoring systems. There is paucity of information on this subject in local literature, even though a Nigerian scientist pioneered one of the earliest stratification systems. This is a review of literature on one of the scoring systems that has made an impact in the standardization of intraabdominal sepsis:the APACHE II scoring system. This study will review the genesis, bedside application, uses, limitations and alternatives as a scoring system for intraabdominal infection. Over two decades of use, it is simple and continues to be a reliable indicator of severity of intraabdominal infection.

show abstract

“…Mannheim's peritonitis index is very simple and effective predictor of mortality among the patients with peritonitis. [11][12][13][14][15] MPI score was found to be a good tool for identifying poor prognosis. Most of the patients who died were in the 3rd category, with the MPI score >29 (61.5%), with 50% of them aged over 50 years of age.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Mannheim's peritonitis index in predicting mortality in perforative peitonotis patients

Thorat

Prabhakar

2016

Int Surg J

View full text Add to dashboard Cite

Surgical Infection Stratification System for Intra-abdominal Infection

Cited by 189 publications

References 22 publications

Post-Operative Peritonitis: Diagnostic Problems, Morbidity and Mortality in Developing Countries

Post-Operative Peritonitis: Diagnostic Problems, Morbidity and Mortality in Developing Countries

Assessing the severity of intraabdominal Infections; the value of APACHE II Scoring System

Evaluation of Mannheim's peritonitis index in predicting mortality in perforative peitonotis patients

Contact Info

Product

Resources

About