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Microbiologic progression of post-traumatic peritonitis.

P O Nyström, T Skau, L Johansson

    The Journal of Trauma
    |August 1, 1985
    PubMed
    Summary
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    Post-traumatic peritonitis in pigs showed an initial drop in bacterial density after surgery. However, bacteria later proliferated, indicating the host defense has limited capacity and duration.

    Area of Science:

    • Veterinary Surgery
    • Infectious Diseases
    • Trauma Research

    Background:

    • Post-traumatic peritonitis is a severe complication following abdominal trauma.
    • Understanding the natural course of bacterial infection is crucial for effective treatment strategies.

    Purpose of the Study:

    • To investigate the dynamic changes in bacterial density in pigs with experimentally induced post-traumatic peritonitis.
    • To evaluate the host's immune response capacity and duration in managing intra-abdominal bacterial contamination.

    Main Methods:

    • Seventeen pigs underwent standardized missile wound laparotomy under continuous anesthesia.
    • Bacterial density was quantified in peritoneal fluid, peritoneum, and wound sites at operation and relaparotomy (up to 3 days).

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    Main Results:

    • A significant perioperative reduction in bacterial density was observed (e.g., X 1,905 in peritoneal exudate).
    • Postoperatively, bacterial density increased significantly, particularly in peritoneal exudate (X 4,073) and peritoneum (X 2,630).
    • Wound sites showed less bacterial proliferation compared to intra-abdominal locations.

    Conclusions:

    • The host defense mechanism initially reduces bacterial load but is limited in its capacity and duration.
    • Bacterial proliferation post-initial control suggests a need for sustained therapeutic interventions in post-traumatic peritonitis.