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

• 作者: Gu Guo-Sheng Hong Zhi-Wu Ren Hua-Jian Ren Jian-An Wang Ge-Fei Wu Lei Wu Xiu-Wen Zheng Tao
• 来源期刊: 中华创伤杂志英文版
• 关键词: Source control Intra-abdominal infection Open abdomen Source control failure
• 年，卷（期）: 2020,（6）
• 所属期刊栏目: Review Article
• 页码范围: 311-313
• 页数: 3页
• 语种: 中文
• DOI: 10.1016/j.cjtee.2020.07.003

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.