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  • Tatalaksana Peritonitis

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    DavinWijaya
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    This document discusses the treatment and education for peritonitis. It recommends fluid resuscitation, fasting, decompression and evacuation, antibiotic injection, and referral to a specialist for surgical cases. It provides options for parenteral nutrition and analgesic injection. It recommends various antibiotic therapy options for peritonitis including monotherapy with beta-lactams or carbapenems. It also discusses combination therapy options. It provides tables on the microbiology and recommended therapies for primary and secondary peritonitis based on the causative organisms. It stresses the importance of promptly operating for appendicitis to avoid life-threatening complications of not operating.

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    This document discusses the treatment and education for peritonitis. It recommends fluid resuscitation, fasting, decompression and evacuation, antibiotic injection, and referral to a specialist for surgical cases. It provides options for parenteral nutrition and analgesic injection. It recommends various antibiotic therapy options for peritonitis including monotherapy with beta-lactams or carbapenems. It also discusses combination therapy options. It provides tables on the microbiology and recommended therapies for primary and secondary peritonitis based on the causative organisms. It stresses the importance of promptly operating for appendicitis to avoid life-threatening complications of not operating.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    171 views7 pages

    Tatalaksana Peritonitis

    Uploaded by

    DavinWijaya
    This document discusses the treatment and education for peritonitis. It recommends fluid resuscitation, fasting, decompression and evacuation, antibiotic injection, and referral to a specialist for surgical cases. It provides options for parenteral nutrition and analgesic injection. It recommends various antibiotic therapy options for peritonitis including monotherapy with beta-lactams or carbapenems. It also discusses combination therapy options. It provides tables on the microbiology and recommended therapies for primary and secondary peritonitis based on the causative organisms. It stresses the importance of promptly operating for appendicitis to avoid life-threatening complications of not operating.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 7

    Tatalaksana & Edukasi

    Peritonitis

    Kasus Emergency
    Resusitasi Cairan
    Puasa
    Dekompresi & evakuasi
    Injeksi Antibiotika
    Rujuk ke Spesialis
    ( Surgikal )

    Optional
    Nutrisi Parenteral
    Injeksi analgetik ( tegak
    diagnosis )

    Monotherapy
    Beta lactam/ Beta lactamase inhibitor
    Piperacilli/ Tazobactam
    Ticarcillin/ clavulanicacid
    Carbapenem
    Ertapenem
    Imipenem/ Cilastatin
    Meropenem

    Combination therapy
    Cephalosporin- based
    Cefuroxime + metronidazole
    3- 4 generation cephalosporin + Metronidazole
    Quinolone based
    Ciprofloxacin + Metronidazole
    Aminoglycoside based
    Aminoglycoside + Clindamycin
    Astreonam + metronidazole

    Microbiology of Peritonitis Treatment


    Peritonitis

    Etiology
    Group

    Therapy
    Species
    E. Coli
    K. Pneumonia

    Primary Peritonitis

    Gram- negative

    Pseudomonas sp
    Proteus sp
    Streptococcus sp
    Stapylococcus sp
    Anaerobic sp.
    ( Bacteroides sp )

    Third Generation
    Cephalosporin

    Perforated Appendicitis Secondary


    Peritonitis

    Etiology
    Group

    Therapy
    Species
    E. Coli

    Gram negative

    Secondary Peritonitis
    Gram positive
    Anaerobic

    Enterobacter sp
    Klebsiella sp

    2 generation
    cephalosporin

    Proteus sp

    3 generation
    cephalosporin

    Streptococcus sp

    Penicillin

    Enterococcus sp

    Quinolone

    Bacteroides fragilis

    Quinolone +
    metronidazole

    Other Bacteroides sp

    Aminoglycoside +
    metronidazole

    Eubacterium sp
    Clostridium sp

    Edukasi
    Harus dilakukan operasi apendektomi secepatnya
    Risiko tidak dioperasi :
    sepsis inflammatory response syndrome
    septic hypotension
    Septic shock
    Multiple organ damage syndrome
    Kematian
    Risiko dioperasi:
    perdarahan, infeksi, adhesi

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