Secondary or Tertiary Peritonitis
Conditions
Brief summary
Procalcitonin level used for determining length of antibiotic treatment in peritonitis and intra-abdominal infections. Hypothesis is that length of antibiotic use can be shortened by this method.
Detailed description
Prospective randomized trial
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* More than 18 yo * Patient requiring surgery for peritonitis or intra-abdominal infection following: perforation, necrosis, previous operation... * Mannheim Peritonitis score \> 14 * SIRS present * Probability of survival \> 72h * Informed consent by patient/relatives
Exclusion criteria
* No SIRS * Long date corticoid treatment * Immunosuppression * Thyroid medullary carcinoma * Anaphylactic shock * Acute hepatic deficiency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| antibiotic treatment length, hospitalisation length without antibiotic, infection recurrence, antibiotic cost | at one month and during hospital stay |
Countries
Switzerland