Peritonitis

Question 1

Bentley, JVECC, 2013:
Naturally occurring septic peritonitis

1. Overall survival rate?
2. What was predictive of mortality?
3. Usefulness of coagulation tests?

Answer 1

Bentley, JVECC, 2013:

1. Overall survival rate: 59%
2. Total protein C and antithrombin deficiencies were predictive of mortality
3. Routine coagulation tests were not useful in distinguishing survivors and non-survivors

Question 2

Adams, Vet Surg, 2014:
Closed suction drainage for septic peritonitis

1. What % of septic peritonitis cases were caused by dehiscence of a previous anastomosis?
2. Overall survival rate?
3. What was the most common complication?

Answer 2

Adams, Vet Surg, 2014:

1. 80% of septic peritonitis cases were caused by dehiscence of a previous anastomosis
2. Overall survival rate: 85%
3. Post-op hypoproteinemia was the most common complication (90% of cases)

Question 3

Koenig and Verlander, JAVMA, 2015:
Diagnosis of septic peritonitis

1. Glucose concentration differences for identifying septic peritonitis were more sensitive when comparing glucose concentrations in the peritoneal fluid with plasma or whole blood?
2. What was the proposed glucose concentration difference cutoff value for comparisons between plasma and peritoneal fluid for improved accuracy and specificity?

Answer 3

Koenig and Verlander, JAVMA, 2015:

1. Glucose concentration differences for identifying septic peritonitis were more sensitive when comparing glucose concentrations in the peritoneal fluid with plasma rather than whole blood
2. The proposed glucose concentration difference cutoff value for comparisons between plasma and peritoneal fluid for improved accuracy and specificity was 38mg/dL (2.1mmol/L)

Question 4

Barfield, JVECC, 2016:
Recurrent secondary septic peritonitis

1. Survival rate?
2. Difference in serum albumin concentrations between survivors and non-survivors?

Answer 4

Barfield, JVECC, 2016:

1. 44% survival rate
2. No difference in serum albumin concentrations between survivors and non-survivors

Question 5

Guieu, JAVMA, 2016:
Diagnosis of septic peritonitis

What % of dogs with post-op septic peritonitis had bacteria observed in the abdominal fluid collected on the day that septic peritonitis was diagnosed?

Answer 5

Guieu, JAVMA, 2016:

0% of dogs with post-op septic peritonitis had bacteria observed in the abdominal fluid collected on the day that septic peritonitis was diagnosed

Question 6

Spillebeen, Vet Surg, 2017:
Negative pressure therapy vs passive open abdominal drainage for septic peritonitis

1. Overall survival rate?
2. Differences in plasma protein levels between groups?

Answer 6

Spillebeen, Vet Surg, 2017:

1. Overall survival rate: 81%
2. No differences in plasma protein levels and changes in plasma protein levels over time between treatment groups

Question 7

Hansen, JVECC, 2019:
Gastrostomy tube usage in septic peritonitis

1. Survival rate?
2. 75% of the cases developed septic peritonitis from what source?
3. Complication rate?
4. What % had G-tube-related complications?

Answer 7

Hansen, JVECC, 2019:

1. 75% survival rate
2. 75% had a gastrointestinal source of septic peritonitis
3. 50% complication rate
4. 33% had G-tube-related complications