Shock séptico de origen abdominal

Abstract

The septic shock of abdominal origin has a similar incidence to pneumonia and bacteremia in the intensive care ward and therefore the prognosis and the cost of care are similar. The septic shock of abdominal origin constitutes the systemic response to a localized infectious process. Acute peritonitis has a high mortality rate and is the first stage of septic shock of abdominal origin; the survivors to this develop abscesses a week later. The clinical manifestations of peritonitis as such are manifested by abdominal pain, fever, muscular resistance and absence or reduction of hydro-aerial noise. There are useful diagnostic aids to complete the diagnosis of the septic shock of abdominal origin, ultrasound, computed tomography and studies with radioisotopes. The treatment of septic shock of abdominal origin includes the drainage of the infectious focus, systemic support and use of specific antibiotics. Factors of poor prognosis are: age> 65 years, the number of surgeries (more than two), generalized peritonitis, malnutrition, septic shock and multiple organ failure.