 |
|
Intra-abdominal Infection and Acute Renal Failure
Samuel L. Milligan, MD;
Friedrich C. Luft, MD;
Stephen D. McMurray, MD;
Stuart A. Kleit, MD
Arch Surg. 1978;113(4):467-472.
Abstract
• The course of 76 consecutive patients with acute renal failure and severe intra-abdominal infection was reviewed to identify the microorganisms responsible, the factor precipitating reoperation, and prognostic indicators. Peritonitis occurred in 75 patients, 48 of whom had abscesses. Twenty-four patients (32%) survived. Anaerobes and fungi were commonly grown from blood. Gram-negative aerobic blood isolates were associated with the highest mortality. Leukocytosis, physical findings, and fever were factors that prompted reexploration whereas diagnostic procedures played an ancillary role. The finding of specifically correctable conditions at reoperation improved survival (P <.05). Myocardial infarction and disseminated intravascular coagulation affected survival unfavorably whereas hyperalimentation had a favorable influence (P <.05). Aggressive medical, nutritional, and surgical management results in improved survival rates in these patients.
(Arch Surg 113:467-472, 1978)
Author Affiliations
From the Department of Medicine, Indiana University School of Medicine, Indianapolis.
Footnotes
Accepted for publication Dec 12, 1977.
Read before the 85th annual meeting of the Western Surgical Association, Las Vegas, Nov 15, 1977.
Reprint requests to Indiana University Medical Center, Fesler Hall 110, 1100 W Michigan St, Indianapolis, IN 46202 (Dr Luft).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Enteral Feeding Improves Outcome and Protects against Glycerol-induced Acute Renal Failure in the Rat
ROBERTS et al.
Am. J. Respir. Crit. Care Med. 1997;156:1265-1269.
ABSTRACT
| FULL TEXT
Laparotomy for Intra-abdominal Sepsis in Patients in an Intensive Care Unit
Sinanan et al.
Arch Surg 1984;119:652-658.
ABSTRACT
Determinants of Organ Malfunction or Death in Patients With Intra-abdominal Sepsis: A Discriminant Analysis
Pine et al.
Arch Surg 1983;118:242-249.
ABSTRACT
|
