Abdominal

Abdominal Infections
 

Abscess

mortality rate as high as 30%

surgery and percutaneous abscess drainage are both useful depending on situation

cefotetan has poor activity against B. fragilis and is better as prophylaxis, not treatment

Flagyl has better activity against bacteroides than clindamycin

primary peritonitis=gram negs

secondary=anaerobes

tertiary=yeast

Bariatrics

any patient you suspect of PE is just as likely to have a leak attempting to repair the suture line does not fly get an UGI series with gastrograffin pulse >120, temp > 38, and WBC > 12 = leak until proven otherwise

SBP

Intra-abd infections

post-op day 5-8 or after 2nd week

clinda+tobra in non severely ill

zosyn+-genta

or cipro + flagyl + genta

unasyn probably has too much resistance at this point

C. Diff

    |      |      |