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Prognostic factors for mortality in (fecal) peritonitis: back to the roots!

2013; Springer Science+Business Media; Volume: 40; Issue: 2 Linguagem: Inglês

10.1007/s00134-013-3155-x

1432-1238

Christian Eckmann, Matteo Bassetti,

Cardiac, Anesthesia and Surgical Outcomes

We have just a few reliable data about prognosis in abdominal sepsis in general and fecal peritonitis in particular.This alone is a good reason why the study by Tridente et al. [1] published in this issue of Intensive Care Medicine is an important contribution to this topic.The authors present a large cohort of patients treated in different European health-care settings and the study provides some of the best available evidence we have for these critically ill patients.Tridente et al. conclude that in a large cohort of patients admitted to European ICUs with fecal peritonitis the 6-month mortality was 31.6 %.The most consistent predictors of mortality across all time points were increased age, development of acute renal dysfunction during the first week of admission, and hypothermia on day 1 of ICU admission.International databases show that one in four cases of severe sepsis or septic shock are caused by intra-abdominal infections (IAI).It is the second most common focus of septic shock after pulmonary causes [2,3].Primary inadequate and inappropriate antibiotic regimens for nosocomial peritonitis have a substantially worse