The Microbiology of Postoperative Peritonitis
Postoperative peritonitis carries a higher risk of complications and mortality than does community-acquired disease. Little, however, is known about the specific microbiology of this condition. To gain insight into this problem, the microbiological findings of 67 patients with postoperative peritoni...
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| Veröffentlicht in: | Clinical infectious diseases 2001-11, Vol.33 (9), p.1513-1519 |
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| container_title | Clinical infectious diseases |
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| creator | Roehrborn, A. Thomas, L. Potreck, O. Ebener, C. Ohmann, C. Goretzki, P. E. Röher, H. D. |
| description | Postoperative peritonitis carries a higher risk of complications and mortality than does community-acquired disease. Little, however, is known about the specific microbiology of this condition. To gain insight into this problem, the microbiological findings of 67 patients with postoperative peritonitis were compared with those of 68 patients with community-acquired peritonitis. In a comparison of postoperative peritonitis with community-acquired disease, the number of isolates of enterococci (23 versus 6) and Enterobacter species (13 versus 4) were increased and the number of isolates of Escherichia coli (21 versus 42) were reduced. Antibiotic therapy before reintervention increased the number of resistant organisms at relaparotomy (33% versus 8%). The in vitro efficacy of the primary antibiotic or combination of drugs did not affect mortality rates (40% versus 38% after effective and ineffective treatment, respectively). Thus, the microbiology of postoperative peritonitis differs significantly from that of community-acquired disease, and specific antibiotic therapy is required, despite the doubtful impact on survival. |
| doi_str_mv | 10.1086/323333 |
| format | Article |
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The in vitro efficacy of the primary antibiotic or combination of drugs did not affect mortality rates (40% versus 38% after effective and ineffective treatment, respectively). 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E.</creatorcontrib><creatorcontrib>Röher, H. D.</creatorcontrib><title>The Microbiology of Postoperative Peritonitis</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><addtitle>Clinical Infectious Diseases</addtitle><description>Postoperative peritonitis carries a higher risk of complications and mortality than does community-acquired disease. Little, however, is known about the specific microbiology of this condition. To gain insight into this problem, the microbiological findings of 67 patients with postoperative peritonitis were compared with those of 68 patients with community-acquired peritonitis. In a comparison of postoperative peritonitis with community-acquired disease, the number of isolates of enterococci (23 versus 6) and Enterobacter species (13 versus 4) were increased and the number of isolates of Escherichia coli (21 versus 42) were reduced. Antibiotic therapy before reintervention increased the number of resistant organisms at relaparotomy (33% versus 8%). The in vitro efficacy of the primary antibiotic or combination of drugs did not affect mortality rates (40% versus 38% after effective and ineffective treatment, respectively). Thus, the microbiology of postoperative peritonitis differs significantly from that of community-acquired disease, and specific antibiotic therapy is required, despite the doubtful impact on survival.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antibiotics</subject><subject>Bacteria</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Biological and medical sciences</subject><subject>Enterobacter</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Major Articles</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Mortality</subject><subject>Peritonitis</subject><subject>Peritonitis - drug therapy</subject><subject>Peritonitis - microbiology</subject><subject>Staphylococcus</subject><subject>Surgical Wound Infection - drug therapy</subject><subject>Surgical Wound Infection - microbiology</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0M9LwzAUB_AgitOpf4HIPOitmjRN8nqU-WPCxAlTh5eQNalmdstMWnH_vR0d20nMJYH34b2XL0JHBF8QDPySxrQ-W2iPMCoizlKyXb8xgygBCi20H8IEY0IAs13UIoRxAEb2UDT8MJ0Hm3k3tq5w74uOyzsDF0o3N16V9tt0Bsbb0s1sacMB2slVEczh6m6j59ubYbcX9R_v7rtX_ShLGC0jxTQReaqUyTTVLEk5E5jGmhlBNReglM5wwnNKQYMwWqnMpCQ1oBVPNdO0jc6bvnPvvioTSjm1ITNFoWbGVUGKmAiKgf0LCdQL0Rg2sP5pCN7kcu7tVPmFJFguE5RNgjU8WXWsxlOjN2wVWQ3OVkCFTBW5V7PMho1LSMwx5rU7bZyr5n8PO27MpA7cr1WSQAzxclTUlG0ozc-6rPyn5IIKJnujN3k9eO2-jJ5A9ugvIi-Znw</recordid><startdate>20011101</startdate><enddate>20011101</enddate><creator>Roehrborn, A.</creator><creator>Thomas, L.</creator><creator>Potreck, O.</creator><creator>Ebener, C.</creator><creator>Ohmann, C.</creator><creator>Goretzki, P. 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| source | Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Anti-Bacterial Agents - therapeutic use Antibiotics Bacteria Bacterial diseases Bacterial diseases of the digestive system and abdomen Biological and medical sciences Enterobacter Human bacterial diseases Humans Infections Infectious diseases Major Articles Medical sciences Microbiology Mortality Peritonitis Peritonitis - drug therapy Peritonitis - microbiology Staphylococcus Surgical Wound Infection - drug therapy Surgical Wound Infection - microbiology |
| title | The Microbiology of Postoperative Peritonitis |
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