Secondary Peritonitis

Select All That Apply

Diffuse peritonitis OR severe sepsis

Severe sepsis is defined by all three of:

SIRS criteria (Two of HR>90, tachypnea, Temp >38 or <36, WBC >12 or <4)
Suspected/confirmed infection
At least one new organ dysfunction (hypotension, elevated lactate, AKI, acute lung injury, DIC, neurologic or hepatic)

Antibiotic use >2d within 30d

Delayed (>24h) or inability to achieve source control

Admission to hospital for ≥5d OR immunocompromised

Community acquired infection

Early surgery (<24h) for gastric, duodenal or proximal jejunal perforation without cancer, or anti-acid therapy