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[Postoperative infections in critically ill patients]

M Palomar1, J Serra

  • 1Servicio de Medicina Intensiva, Hospital General Universitari Vall d'Hebron, Barcelona.

Enfermedades Infecciosas Y Microbiologia Clinica
|December 31, 1997
PubMed
Summary

Nosocomial intra-abdominal infections are a major cause of death in surgical patients. Advances in diagnosis and treatment have improved outcomes, but multi-organ failure remains a critical concern.

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Area of Science:

  • Surgery
  • Infectious Diseases
  • Critical Care Medicine

Context:

  • Nosocomial infections, particularly intra-abdominal infections, are a significant complication in surgical patients.
  • These infections can lead to severe outcomes such as septicemia, multi-organ failure, and mortality.
  • Understanding the physiopathology, microbiology, and clinical manifestations is crucial.

Purpose:

  • To review advances in the diagnosis and treatment of nosocomial intra-abdominal infections.
  • To discuss new diagnostic tools like abdominal ultrasound and CT scans.
  • To explore evolving treatment strategies including drainage techniques, antimicrobial therapy, and supportive care.

Summary:

  • Intra-abdominal infections are common in surgical patients, leading to sepsis and death.
  • Research has advanced understanding of inflammatory mediators, microbial changes, and clinical presentations.
  • Diagnostic imaging (ultrasound, CT) and novel treatments (drainage, antibiotics, supportive care) are improving patient management.

Impact:

  • Diagnostic and therapeutic progress has positively impacted patient prognosis.
  • Despite advances, multi-organ failure syndrome continues to present a poor prognosis in critical patients.
  • Continued research is vital to further reduce mortality associated with these complex infections.

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