Intra-abdominal abscess

Intra-abdominal abscesses are a condition of the collection of infected fluid or pus around the inflamed tissue inside the belly. It may involve any abdominal organ or settle in the bowel fold. Intra-abdominal abscesses at times occur due other conditions for example appendicitis. However, it happens often after the surgery or the appendectomy. Intra-abdominal abscesses are caused through an infection by bacteria which are mostly in the stomach and intestines. The most common bacteria for the infection are the Escherichia coli also known as the E. coli, bacteroides, Neisseria, chlamydia, and candida (Mehta & Copelin II, 2019). The bacteria multiply causing inflammation and the killing of the health cells. 

The appendectomy predisposes a person to the infection of various bacteria. The people with an abdominal surgery or trauma and some conditions like diabetes or bowel inflammatory disease are at the risk of having the infection of the intra-abdominal abscess. Kawanishi et al. (2017) indicate that appendectomy history has a significant risk factor in the antibiotic resistant pathogens in the patients’ bacteria from the biliary tract infections. Appendix has important role in the development and preservation of the intestinal immune system. For the case study though the patients taking of alcohol acted as a predisposing factor to the infection of the wound, he was already at the higher risk of the other infection.

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Several bacterial infections are treated through antibacterial injections or treatment however for the case of the intra-abdominal abscess the treatment through antibiotics can only treat a wound that could lead to and infection but could not be used for the treatment of intra-abdominal abscess once the infection develops (Mehta & Copelin II, 2019).  Intra-abdominal abscess will need the draining of the fluids from the affected area to heal. Nonetheless, the normal antibiotics are always given with the draining of the abscesses. The antibiotics given depend on the severity of the abscess, age and other contributing conditions.

An example of the fluid removal is through the percutaneous CT drainage. The procedure involves guiding to the location of the infection a needle through an incision. The patient is sedated for the procedure and an anesthetic to relax and eliminate the discomfort or pain accompanied by the procedure.  Surgery can also help in draining the abscesses (Mehta & Copelin II, 2019). The method can be effective since it can help in the repairing or the removal of the condition that predisposed the patient to the infection in the first place for example the perforation of the bowel. The consideration of the clinician for the patient to go for the exploratory laparoscopy is a good call as the surgery exposes the infection and helps the physician to take the infection out fully and help solve also the condition of the appendicitis that was ailing the patient earlier. 

After the drainage, often the drainage catheter is always left in the abscess cavity after drainage which will be removed later after the confirmation of a full solution or healing of the infection. The treatment and the healing of the infection depend on the infection cause and faster response on seeking treatment (Mehta & Copelin II, 2019). Seeking early treatment is significant for the improvement in the outcome of the intra-abdominal abscesses patients. The treatment may also need the help in feeding like using the feeding tubes.

Reference

Kawanishi, K., Kinoshita, J., Abe, H., Kakimoto, T., Yasuda, Y., Hara, T., & Kato, J. (2017). Appendectomy as a risk factor for bacteremic biliary tract infection caused by antibiotic-resistant pathogens. BioMed research international2017Mehta, N. Y., & Copelin II, E. L. (2019). Abdominal Abscess. In StatPearls [Internet]. StatPearls Publishing.

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