La peritonitis del postoperatorio tiene más riesgo de morbilidad y mortalidad que las adquiridas en la comunidad. Para tener más datos a cerca de la microbiología específica de esta situación Roehrborn y col, llevaron a cabo un estudio comparativo entre 67 pacientes con peritonitis postoperatoria con 68 pacientes con peritonitis adquirida en la comunidad.
En el primer grupo se observó el aumento de enterococos (23 vs. 6) y Enterobacter sp. (13 vs 4) y una disminución en las E. coli (21 vs. 42). Los antibióticos administrados antes de la nueva laparotomía aumentaron la emergencia de gérmenes resistentes (33 vs. 8 %). La eficacia in vitro del esquema antibiótico empírico no afectó la mortalidad.
Si bien se evidenció que la bacteriología de la peritonitis del postoperatorio difiere de la de la comunidad y requiere tratamiento antibiótico específico, esta situación tiene un dudoso impacto en la sobrevida de los pacientes.
Noticias médicas
/ Publicado el 9 de diciembre de 2001
Infecciones intraabdominales
La microbiología de la peritonitis postoperatoria
Se analizan los resultados de las muestras de peritonitis postoperatorias y se comparan con las de adquisición en la comunidad.
Fuente:
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