Current progress of source control in the management of intra-abdominal infections

Chinese Journal of Traumatology

Jian-An Ren¹  Ge-Fei Wang¹  Tao Zheng¹  Hua-Jian Ren¹  Zhi-Wu Hong²  Lei Wu²  Guo-Sheng Gu²  Xiu-Wen Wu² 

[1] Lab for Trauma and Surgical Infection, Jinling Hospital, Nanjing, China;Research Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China;

关键词: Source control;    Intra-abdominal infection;    Open abdomen;    Source control failure;   

DOI  :  

来源: DOAJ

【 摘 要 】

Intra-abdominal infection (IAI) is a deadly condition in which the outcome is associated with urgent diagnosis, assessment and management, including fluid resuscitation, antibiotic administration while obtaining further laboratory results, attaining precise measurements of hemodynamic status, and pursuing source control. This last item makes abdominal sepsis a unique treatment challenge. Delayed or inadequate source control is an independent predictor of poor outcomes and recognizing source control failure is often difficult or impossible. Further complicating issue in the debate is surrounding the timing, adequacy, and procedures of source control. This review evaluated and summarized the current approach and challenges in IAI management, which are the future research directions.

【 授权许可】

Unknown