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Erschienen in: Intensive Care Medicine 2/2014

01.02.2014 | Editorial

Prognostic factors for mortality in (fecal) peritonitis: back to the roots!

verfasst von: Christian Eckmann, Matteo Bassetti

Erschienen in: Intensive Care Medicine | Ausgabe 2/2014

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Excerpt

We have just a few reliable data about prognosis in abdominal sepsis in general and fecal peritonitis in particular. This alone is a good reason why the study by Tridente et al. [1] published in this issue of Intensive Care Medicine is an important contribution to this topic. The authors present a large cohort of patients treated in different European health-care settings and the study provides some of the best available evidence we have for these critically ill patients. Tridente et al. conclude that in a large cohort of patients admitted to European ICUs with fecal peritonitis the 6-month mortality was 31.6 %. The most consistent predictors of mortality across all time points were increased age, development of acute renal dysfunction during the first week of admission, and hypothermia on day 1 of ICU admission. …
Literatur
1.
Zurück zum Zitat Tridente A, Clarke GM, Walden A, McKechnie S, Hutton P, Mills GH, Gordon AC, Holloway PAH, Chiche JD, Bion J, Stuber F, Garrard C, Hinds C and the GenOSept Investigators (2013) Patients with faecal peritonitis admitted to European intensive care units: an epidemiological survey of the GenOSept cohort. Intensive Care Med. doi: 10.1007/-013-3158-7 Tridente A, Clarke GM, Walden A, McKechnie S, Hutton P, Mills GH, Gordon AC, Holloway PAH, Chiche JD, Bion J, Stuber F, Garrard C, Hinds C and the GenOSept Investigators (2013) Patients with faecal peritonitis admitted to European intensive care units: an epidemiological survey of the GenOSept cohort. Intensive Care Med. doi: 10.​1007/​-013-3158-7
2.
Zurück zum Zitat Kumar A, Ellis P, Arabi Y et al (2009) Initiation of inappropriate antimicrobial therapy results in a fivefold reduction of survival in human septic shock. Chest 136:1237–1248PubMed Kumar A, Ellis P, Arabi Y et al (2009) Initiation of inappropriate antimicrobial therapy results in a fivefold reduction of survival in human septic shock. Chest 136:1237–1248PubMed
3.
Zurück zum Zitat Engel C, Brunkhorst FM, Bone HG et al (2007) Epidemiology of sepsis in Germany: results from a national prospective multicenter study. Intensive Care Med 33:606–618PubMedCrossRef Engel C, Brunkhorst FM, Bone HG et al (2007) Epidemiology of sepsis in Germany: results from a national prospective multicenter study. Intensive Care Med 33:606–618PubMedCrossRef
4.
Zurück zum Zitat Eckmann C, Dryden M, Montravers P, Kozlov R, Sganga G (2011) Antimicrobial treatment of “complicated” intra-abdominal infections and the new IDSA guidelines—a commentary and an alternative European approach. Eur J Med Res 16:115–126PubMedCentralPubMedCrossRef Eckmann C, Dryden M, Montravers P, Kozlov R, Sganga G (2011) Antimicrobial treatment of “complicated” intra-abdominal infections and the new IDSA guidelines—a commentary and an alternative European approach. Eur J Med Res 16:115–126PubMedCentralPubMedCrossRef
6.
Zurück zum Zitat Inui T, Haridas M, Claridge JA, Malangoni MA (2009) Mortality for intra-abdominal infection is associated with intrinsic risk factors rather than the source of infection. Surgery 146:652–662CrossRef Inui T, Haridas M, Claridge JA, Malangoni MA (2009) Mortality for intra-abdominal infection is associated with intrinsic risk factors rather than the source of infection. Surgery 146:652–662CrossRef
7.
Zurück zum Zitat Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM et al (2012) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock. Intensive Care Med 39:165–228CrossRef Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM et al (2012) Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock. Intensive Care Med 39:165–228CrossRef
8.
Zurück zum Zitat Linder M, Wacha H, Feldmann U, Wesch G, Steifensand RA, Gundlach E (1987) Der Mannheimer Peritonitis-Index—Ein Instrument zur intraoperativen Prognose der Peritonitis. Chirurg 58:84–92PubMed Linder M, Wacha H, Feldmann U, Wesch G, Steifensand RA, Gundlach E (1987) Der Mannheimer Peritonitis-Index—Ein Instrument zur intraoperativen Prognose der Peritonitis. Chirurg 58:84–92PubMed
9.
Zurück zum Zitat Billing A, Frohlich D, Schildberg FW (1994) Prediction of outcome using the Mannheim peritonitis index in 2003 patients. Peritonitis Study Group. Br J Surg 81:209–213PubMedCrossRef Billing A, Frohlich D, Schildberg FW (1994) Prediction of outcome using the Mannheim peritonitis index in 2003 patients. Peritonitis Study Group. Br J Surg 81:209–213PubMedCrossRef
10.
Zurück zum Zitat van Ruler O, Kiewiet J, Boer K, Lamme B, Gouma D, Boermeester M, Reitsma J (2011) Failure of available scoring systems to predict ongoing infection in patients with abdominal sepsis after their initial emergency laparotomy. BMC Surgery 11:1–9CrossRef van Ruler O, Kiewiet J, Boer K, Lamme B, Gouma D, Boermeester M, Reitsma J (2011) Failure of available scoring systems to predict ongoing infection in patients with abdominal sepsis after their initial emergency laparotomy. BMC Surgery 11:1–9CrossRef
11.
Zurück zum Zitat Singh R, Kumar N, Bhattacharya A, Vajifdar H (2011) Preoperative predictors of mortality in adult patients with perforation. Indian J Crit Care Med 15:157–163PubMedCentralPubMedCrossRef Singh R, Kumar N, Bhattacharya A, Vajifdar H (2011) Preoperative predictors of mortality in adult patients with perforation. Indian J Crit Care Med 15:157–163PubMedCentralPubMedCrossRef
12.
Zurück zum Zitat McLauchlan GJ, Anderson ID, Grant IS, Fearson KCH (1995) Outcome of patients with abdominal sepsis treated in an intensive care unit. Br J Surg 82:524–529PubMedCrossRef McLauchlan GJ, Anderson ID, Grant IS, Fearson KCH (1995) Outcome of patients with abdominal sepsis treated in an intensive care unit. Br J Surg 82:524–529PubMedCrossRef
13.
Zurück zum Zitat Mulier S, Penninckx P, Verwaest C, Filez L et al (2003) Factors affecting mortality in generalized postoperative peritonitis: multivariate analysis in 96 patients. World J Surg 27:379–384PubMedCrossRef Mulier S, Penninckx P, Verwaest C, Filez L et al (2003) Factors affecting mortality in generalized postoperative peritonitis: multivariate analysis in 96 patients. World J Surg 27:379–384PubMedCrossRef
14.
Zurück zum Zitat Kumar A, Roberts D, Wood KE, Light B, Parrillo JE, Sharma S et al (2006) Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med 34:1589–1596PubMedCrossRef Kumar A, Roberts D, Wood KE, Light B, Parrillo JE, Sharma S et al (2006) Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit Care Med 34:1589–1596PubMedCrossRef
15.
Zurück zum Zitat Wong PF, Gilliam AD, Kumar S et al (2005) Antibiotic regimens for secondary peritonitis of gastrointestinal origin in adults. Cochrane Database Syst Rev 18:CD004539 Wong PF, Gilliam AD, Kumar S et al (2005) Antibiotic regimens for secondary peritonitis of gastrointestinal origin in adults. Cochrane Database Syst Rev 18:CD004539
Metadaten
Titel
Prognostic factors for mortality in (fecal) peritonitis: back to the roots!
verfasst von
Christian Eckmann
Matteo Bassetti
Publikationsdatum
01.02.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 2/2014
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-013-3155-x

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