Slovenská chirurgia 1/2014

Management of antibiotic treatment of intraabdominal infections

Intraabdominal infections contain a number of pathological conditions from facile localized infections to severe diffused stercoral peritonitis. In the case of not complicated intraabdominal infections is infection localized only in one organ, it doesn´t spread to surroundings and doesn´t affect peritoneum. Patients are treated by surgical way with removing of the affected organ, focus or less frequently with administration of antibiotics. Treatment of intraabdominal infections includes surgery to remove focus, administration of antibiotics and supporting treatment. This article concerns of management of correct antibiotic treatment. We come out from accesible recommendations. To the most comprehensive belongs recommmendation from Surgical Infection Society SIS and Infectious Diseases Society of America IDSA, which is supplemented with recommendations from The World Society of Emergency Surgery WSES (Sartelli et al., 2013). Both recommendations define intraabdominal infections. During choosing of appropriate antibiotic treatment we have to come out from particularity of countries – registration of antibiotics, sensibility, or increase of resistance.

Keywords: antibiotic treatment, intraabdominal infection, resistance, recommendation.