TREATMENT OF ACUTE SEPSIS PERITONITIS

Authors

  • Α. ΜΠΟΥΝΟΒΑΣ
  • Γ. ΧΑΝΟΣ
  • Δ. ΜΠΑΞΕΒΑΝΙΔΗΣ
  • Ν. ΓΚΟΤΣΗΣ
  • Κ. ΣΙΜΟΠΟΥΛΟΣ

Abstract

This experimental study was done in rats. Α model of experimental Faccal Peritonitis was created close to the real conditions. Peritonitis was caused by a penetration of a caecum stamp which was ligated out of large bowel function. The study was done in 60 rats which were divided in three groups from 20 rats each. In the first (control) group nothing was done and mortality arised up to 100%. Ιn the secont (control) group a surgical procedure for peritoneal cleaning was done but we did not administered any antibiotic. Mortality was found up to 80%. In the thirs (control) group was done plus the administration of an antibiotic combination (cefamandole-Netilmicine). Mortality was found at 65% of the experiments. Ιn 43% of rats which survived peritoneal abcesses were found in the autopsy. From the result of the study we may conclude that surgical cleanning of the peritoneal cavity completed with suitable antibiotic combination. Ιn our study seems that netilmicine combined caused best results.

References

Altemeier W.A. Culberton R.W. Fulen D.V. Shook D.C: 1973. Intra-abdominal Abscesses The Amer. J. of surg.

Ανδρουλάκης Ι, Βεζερίδης Μ, Κυριακού Κ: Μηχανικός καθαρισμός του περιτοναϊου ως προληπτικό και θεραπευτικό μέσον επί σηπτικής περιτονίτιδας. Μin. Med. Greca 1975, 3:464.

Bartlet G.J. Experimental studies of antibiotic associeted colitis: Scand. J. Infect. Dis. Suppl. 1981, 22:11- 15.

Dawson J.L: Α study of some factors afecting the mortality rate in diffuse peritonitis gut. 1963, 4:368-372.

Dun L Daνid, Barke Roberick: The adjuνan effect of peritoneal fluid in experimental peritonitis: Ann. Surg. 1984, 199, Νο1.

Finegold Μ Sindey: Pathogenic Anaerobes Arch. Inter. Med. Oct. 1982, 25 Vol 142.

Hall Wh, Gerding Dn: Antibacterial actiνity of cefamandole, eight other cephalosporins, cefoxitin and ambicillin: Curr. ther. res. 1977, 21:374.

Hunt John: Generalized peritonitis arch. surg. 1982, Vol 117.

Louie T.J, Onderdonk Α.Β, Gorbach SI, Bartlet J.G: Therapy for experimental intra abdominal sersis. Combarisons of four cephalosporin with clindamycin plus gentamycin J. Infect. Dis 135 (suppl) 1977, S 18-S24.

Nichols L.R, Fossal Ε, Condon R: Efficacy of parenteral antibiotics in treatment of experimental intused intra abdominal sepsis: R. of inf. dis. 1979, 1, Νο 3.

Rosato Fe, Jefrey C: Peritoneal laνage in experimental peritonitis. Ann. surg: Marc. 1972 νοl 175, Νο3.

Stone Η Harfan, Brenda S.G, Carol Ε Geheber, Laura Kolb: Cephamandole in treatment in peritonitis J. inf. Dis. 1978 νοl 137 (suppl.).

Weinstein W.M, Onderdonk Β Andrew: Brtlet G.J: Antimicrobial therapy of experimental intraabdominal sepsis J. inf. dis. νοl 1975.

Symposium peritonis. part-1 and part-2. Contemporary surgery, νοl 15 December 1979.

Παπαβραμίδης Σ, Μπουνόβας Α, Χανός Γ, Παναγής Τ, Αηδονόπουλος Τ. Η συνεχής μετεγχειρητική πλύση της περιτοναϊκής κοιλότητας για την αντιμετώπιση γενικευμένης περιτονίτιδας ΧΙΙΙ Πανελλήνιο Συνέδριο Χειρουργικής, ΣΕΠΤ. 1982.