[Microbiological aspects and antibiotic treatment of abdominal gunshot injury]

Abdominal gunshot injury is a life-threatening condition that requires urgent and complex measures: control of hemorrhage and source of infection through a surgical intervention; prophylaxis and antibiotic therapy of the infectious complications; intensive care for cardiology and pulmonary support. First phase in infection process (diffuse peritonitis and bacteremia), is governed by Escherichia coli, Enterococcus spp, Bacteroides fragilis group, while the second (development of abscess)--by anaerobes. Application of antibiotic prophylaxis or therapy depends on the time since the incidence together with the score evaluating severity of patient'status. Empiric antibiotic therapy should be broad-spectrum and rapidly bactericidal.