Term
| definition of intra abdominal infections |
|
Definition
| infection in peritoneal cavity or retroperitoneal space |
|
|
Term
| what organs make up the peritoneal cavity |
|
Definition
| stomache, small and large bowel, liver, spleen, gallbladder |
|
|
Term
| what organs make up the retroperitoneal space? |
|
Definition
| dueodenum, kidneys, pancrease, appendix |
|
|
Term
| common microflora of the stomach |
|
Definition
|
|
Term
| common microflora of the biliary tract? |
|
Definition
|
|
Term
| what are common risk factros of having bacteria in the biliary tract? |
|
Definition
| >70 yrs, cholecystis, jaundice, stones |
|
|
Term
| what bacteria if have risk factors for bacteria are present in bilary |
|
Definition
| e coli, klebsiella, enterococci |
|
|
Term
| bacterria common in small bowel |
|
Definition
| strep, lactobacilli, e. coli, kelbsiella, diptheroids |
|
|
Term
| bacteria of the distal ileum |
|
Definition
| B. fragilis, anaerobes, enterobacter, e coli, kelbsiella, peptostrept, enterococci |
|
|
Term
|
Definition
| bacteroides, e. coli, kelbsiella, clostridium, enterobacter, enteroocci, peptostrept |
|
|
Term
| what defines as complicated |
|
Definition
| when infection moved from original organ to peritoneal cavity |
|
|
Term
|
Definition
| did not disturb the integrity of the GI, monomicrobial |
|
|
Term
| what is the leading complication of primary |
|
Definition
|
|
Term
| what is the primary infection due to cirrhosis |
|
Definition
|
|
Term
|
Definition
perforation of a hollow viscus
normally polymicrobial |
|
|
Term
|
Definition
| secondary infection not cured by ABXs |
|
|
Term
| is the peritoneal cavity sterile? |
|
Definition
|
|
Term
| how does bacteria enter CAPD? |
|
Definition
|
|
Term
| how does bacteria enter SBP |
|
Definition
|
|
Term
| what intestine diseases cna cause secodnary ? |
|
Definition
| ulcer colitis, diverticulitis, Crohn's disease_ |
|
|
Term
| what organ diseases can cause secondary? |
|
Definition
| appendicitis, cholecystis, pancreatitis |
|
|
Term
| which type has a bigger immune response? |
|
Definition
|
|
Term
what deos the immune repsonse cause a shift of?
leads to |
|
Definition
| proteins and fluid-> shock |
|
|
Term
| inflamm changes cause slow/fast GI motility |
|
Definition
|
|
Term
| microscopic sequestration can leas to 2 things |
|
Definition
|
|
Term
| abscess formaiton is due to? |
|
Definition
|
|
Term
| where can abscesses occur? |
|
Definition
peritoneal space
organ tissue |
|
|
Term
| neutrophils trapped in abscess last _ days? |
|
Definition
|
|
Term
| what oganisms habitite the most in abscesses? |
|
Definition
|
|
Term
most common org for CAPD?
others? |
|
Definition
s. aureus
strep, psuedomonas |
|
|
Term
most common org for SBP?
others? |
|
Definition
e coli
klebsiella, s. pneumonia |
|
|
Term
| common pathogens of community acquired secondary infections |
|
Definition
|
|
Term
| nosocomial infections and severe secondary infections involve? |
|
Definition
|
|
Term
|
Definition
| liver, spleen, gastoendual, biliary |
|
|
Term
|
Definition
| appendix, intestine, abscess |
|
|
Term
| signs of primary infection |
|
Definition
| abdominal pain, nausea, vomiting, decreased bowel sounds |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
WBC, differential shows what for diagnosis of
CAPD:
SBP: |
|
Definition
|
|
Term
| what symptom is more common in severe? |
|
Definition
|
|
Term
| if you have shock what are you classifiede as? |
|
Definition
|
|
Term
|
Definition
fluids
address shock if needed |
|
|
Term
| what infection do you sue source control for |
|
Definition
|
|
Term
|
Definition
| draingin of abscess or surgical repair of organ |
|
|
Term
| what is the point to remember for secondary ABX |
|
Definition
| start immediatley after diagnosis |
|
|
Term
| are single as good as combos? |
|
Definition
|
|
Term
| what meds cna be mixed into dialysis bags |
|
Definition
|
|
Term
| avoid co administration of what ABXs? |
|
Definition
|
|
Term
| what med do you avoid in intrabdominal bc of e. coli? |
|
Definition
|
|
Term
| what meds do you not use bc of b. fragilis? |
|
Definition
|
|
Term
| what do you avoid using bc of toxicity |
|
Definition
|
|
Term
For abscess:
bacteria shift to stationary- what meds are bad now? |
|
Definition
| active bacterial wall agents |
|
|
Term
for Abscess:
decrease in bloodflow
-what meds are bad now? |
|
Definition
|
|
Term
| if abscess changes pH to acidic what med is not good now? |
|
Definition
|
|
Term
| what is often need for abscess |
|
Definition
|
|
Term
| for abscess therapy what do you need to watch for? |
|
Definition
appropiate BAX
Appropoate source control
resistance
superinfection |
|
|
