Active substances: Norfloxacin
+ free Noroxin pill.
Treatment and Prevention The choice of antibiotics depends on the organisms isolated from cultures of blood or abscess material. Until this information is available, the choice of drugs should be guided by the same principles as those that apply to the treatment of peritonitis.
Although the use of antibiotics is essential, especially because of the risk of bacteremia, such therapy alone will not eradicate intra-abdominal abscesses and is therefore secondary to prompt, effective abscess drainage.
Until the mid-1970 s, surgical drainage was mandatory for the treatment of intra-abdominal abscesses.
However, treatment changed dramatically within just a few years of the introduction of percutaneous abscess drainage under ultrasonographic or CT guidance.
Radiographic features alone cannot indicate which abscesses will respond to percutaneous drainage.
Hence, it seems reasonable to institute percutaneous drainage in all patients who have a safe access route, provided that skilled personnel are available and that the patient does not otherwise require surgical intervention.
A surgeon should be involved in the decision regarding the method of drainage, because the surgeon will be called if the initial approach is not successful.
Even in the case of abscesses that usually require surgical intervention, such as periappendiceal and diverticular abscesses and peripancreatic infections see below, percutaneous drainage can provide temporary control of sepsis, allowing the operative procedure to be delayed until conditions are optimal and sometimes allowing a single definitive procedure instead of staged procedures.
About one third of intra-abdominal abscesses are intraperitoneal, and almost one half of intraperitoneal abscesses occur in the right lower quadrant.
Diagnosis of subphrenic abscesses is sometimes delayed because of their location in the intrathoracic portion of the peritoneal cavity, which is not amenable to examination.
Clinical features The manifestations of a subphrenic abscess range from a severe acute illness to an insidious chronic process characterized by intermittent fever, weight loss, anemia, and nonspecific symptoms.
The chronic syndrome is most often observed in patients who have previously received antibiotics; in the past, such an abscess could smolder subclinically for prolonged periods before diagnosis.
This is currently uncommon. In any patient with fever of undetermined origin who has had an abdominal operation—even if the operation was performed many months earlier—a chronic intra-abdominal abscess must be suspected and a CT scan should be done.
Spiking fever, abdominal pain and tenderness most often at the lower costal margin, and weight loss are common manifestations.
Features of an intrathoracic process, such as shoulder pain, chest pain, cough, dyspnea, rales, and pleural effusion, are more commonly observed than features of an intra-abdominal condition.
Leukocytosis is common. Rarely, patients will have a prolonged, obscure febrile illness complicated by the sudden development of an empyema when the subphrenic abscess ruptures through the diaphragm.
A pleural effusion that develops after an abdominal operation is more commonly caused by inflammation below the diaphragm than inflammation above it.
Diagnosis CT scanning and ultrasonography are the best radiologic techniques for establishing the diagnosis. The plain x-ray findings in patients with subphrenic abscess include pleural effusion, limitation of diaphragmatic movement, elevation of a hemidiaphragm, and lower-lobe pneumonia or atelectasis.If you are under 18 years taking norfloxacin it is important that.
Indeed, many retroperitoneal abscesses arise from disorders of the abdominal viscera; more than two thirds of patients with retroperitoneal abscesses also have underlying debilitating conditions, including malignancies, corticosteroid use, alcoholism, and diabetes.
Pancreatic infections have been divided into infected pancreatic and peripancreatic necrosis and pancreatic abscesses.
Source control is difficult, and morbidity and mortality can be high. Infected necrosis often requires open operative debridement, although there are promising reports of combined percutaneous drainage and laparoscopically assisted debridement.
Pancreatic abscess refers to a more localized infectious process. This includes any possible side effects not. Do not pass it on to others.