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One hundred eighty-seven patients treated for established intra-abdominal infection in five medical centers were studied using the surgical infection stratification system. This system combines an anatomic category with a numerical estimate (acute physiology score [APS]) of deviation from normal of 33 routine laboratory tests or physical findings. Overall mortality was 24% and the rate of treatment "success" with a single operation and single course of antibiotics was 48%. Eighty percent of deaths occurred with infection present. Multivariate analysis disclosed that APS, malnutrition, and age were most noteworthy for predicting survival or death. Intra-abdominal infection carries substantial mortality and morbidity despite advances in understanding the underlying pathophysiologic condition. Additional clinical studies are needed. Uniform reporting criteria, including the use of an objective severity scoring system, are suggested for future reports concerning intra-abdominal infection.
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
June 1987,
Chemioterapia : international journal of the Mediterranean Society of Chemotherapy,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
January 1997,
Hepato-gastroenterology,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
September 2023,
Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
November 2009,
Infection control and hospital epidemiology,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
January 1992,
G.E.N,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
January 1997,
Hepato-gastroenterology,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
April 1946,
Bulletin international des services de sante des armees de terre, de mer et de l'air,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
July 1946,
Military surgeon,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
November 1990,
Annals of surgery,
E P Dellinger, and
M J Wertz, and
J L Meakins, and
J S Solomkin, and
M D Allo, and
R J Howard, and
R L Simmons
January 2006,
Surgical technology international,
