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[Antibacterial and immunocorrective therapy of diffuse purulent peritonitis]
Summary
Surgical treatment for generalized purulent peritonitis improved with targeted antibacterial and immunocorrective therapies. This optimized approach significantly reduced patient mortality rates.
Area of Science:
- Surgical treatment effectiveness
- Bacteriologic and immunologic investigations
- Antibacterial and immunocorrective therapy optimization
Context:
- Analysis of 193 patients with generalized purulent peritonitis
- Importance of timely and rational therapeutic interventions
- Challenges in managing severe intra-abdominal infections
Purpose:
- To analyze the effectiveness of surgical treatment for generalized purulent peritonitis
- To optimize antibacterial and immunocorrective therapy through integrated investigations
- To reduce the lethality rate in patients with this severe condition
Summary:
- Bacteriologic and immunologic investigations guided the optimization of therapy for 193 patients.
- Rational antibacterial therapy involved broad-spectrum antibiotics, including metronidazole, administered perioperatively.
- This approach was implemented before definitive microflora identification and sensitivity testing.
Impact:
- Reduced lethality in generalized purulent peritonitis from 39.5% to 24.9%.
- Demonstrated the value of a comprehensive therapeutic and tactical approach.
- Improved patient outcomes in a critical surgical condition.