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      Pacientes con infección intrabdominal en la unidad de cuidados intensivos Translated title: Patients with Intrabdominal Infection in the Intensive Care Unit

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          Abstract

          RESUMEN Los pacientes con infección intrabdominal en unidad de cuidados intensivos representan un reto diagnóstico y terapéutico, tanto en el mundo como en Cuba y es responsable del aumento de un periodo de invalidez transitoria y de mortalidad de una parte de los pacientes. El objetivo del artículo fue profundizar en los conocimientos actuales sobre el tratamiento de la infección intrabdominal en la unidad de cuidados intensivos. Se realizó revisión tipo exploratorio-descriptivo para profundizar el tema y se consultaron fuentes primarias y secundarias de información de las bases de datos Scopus, Medline, Cochrane, Hinary y Redalyc bajo los criterios de sus revisores. La infección intrabdominal en los pacientes bajo cuidados intensivos suscita un mal pronóstico, por lo que requiere de un diagnóstico oportuno y un tratamiento eficaz. Los índices de mortalidad en estos enfermos apenas han decrecido a pesar de los avances tecnológicos.

          Translated abstract

          ABSTRACT Patients with intraabdominal infection in the intensive care unit represent a diagnostic and therapeutic challenge, both in Cuba and worldwide. Such condition is responsible for the increase in the period of temporary disability and mortality in part of the patients. The aim of the article was to deepen the current knowledge on treatment of intraabdominal infection in the intensive care unit. An exploratory-descriptive review was carried out to deepen the subject and primary and secondary sources of information were consulted from the Scopus, Medline, Cochrane, Hinary and Redalyc databases, following the criteria of their reviewers. Intraabdominal infection in patients under intensive care presents poor prognosis, which requires prompt diagnosis and effective treatment. Mortality rates in these patients have barely decreased despite technological advances.

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          Most cited references51

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          Trial of short-course antimicrobial therapy for intraabdominal infection.

          The successful treatment of intraabdominal infection requires a combination of anatomical source control and antibiotics. The appropriate duration of antimicrobial therapy remains unclear.
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            The Surgical Infection Society Revised Guidelines on the Management of Intra-Abdominal Infection

            Previous evidence-based guidelines on the management of intra-abdominal infection (IAI) were published by the Surgical Infection Society (SIS) in 1992, 2002, and 2010. At the time the most recent guideline was released, the plan was to update the guideline every five years to ensure the timeliness and appropriateness of the recommendations.
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              Secondary peritonitis: principles of diagnosis and intervention

              Secondary peritonitis accounts for 1% of urgent or emergent hospital admissions and is the second leading cause of sepsis in patients in intensive care units globally. Overall mortality is 6%, but mortality rises to 35% in patients who develop severe sepsis. Despite the dramatic growth in the availability and use of imaging and laboratory tests, the rapid diagnosis and early management of peritonitis remains a challenge for physicians in emergency medicine, surgery, and critical care. In this article, we review the pathophysiology of peritonitis and its potential progression to sepsis, discuss the utility and limitations of the physical examination and laboratory and radiographic tests, and present a paradigm for the management of secondary peritonitis.
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                Author and article information

                Journal
                cir
                Revista Cubana de Cirugía
                Rev Cubana Cir
                Editorial Ciencias Médicas (Ciudad de la Habana, , Cuba )
                0034-7493
                1561-2945
                September 2020
                : 59
                : 3
                : e942
                Affiliations
                [1] Camagüey orgnameUniversidad de Ciencias Médicas de Camagüey orgdiv1Hospital Universitario “Manuel Ascunce Domenech” orgdiv2Servicio de Cirugía General Cuba
                Article
                S0034-74932020000300009 S0034-7493(20)05900300009
                070385e8-1af8-4cd5-99e3-702f5124c199

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 05 May 2020
                : 04 June 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 55, Pages: 0
                Product

                SciELO Cuba

                Categories
                ARTÍCULOS DE REVISIÓN

                pronóstico,infección intrabdominal,diagnóstico,tratamiento,intraabdominal infection,diagnosis,management,prognosis

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