Sepsis mit intraabdominellem Fokus – eine interdisziplinäre Herausforderung

Kernaussagen

• Die Sepsis mit intraabdominellem Fokus ist ein chirurgischer Notfall und muss innerhalb von 1 h antibiotisch und innerhalb von 12 h chirurgisch behandelt werden. Um dies zu erreichen, sind klinikinterne Diagnostik- und Behandlungsabläufe zu empfehlen.

• Die sekundäre Peritonitis ist die häufigste Ursache einer Sepsis mit intraabdominellem Fokus und oft durch Hohlorganperforationen oder postoperative Anastomoseninsuffizienzen bedingt.

• Die Diagnose der Peritonitis wird klinisch gestellt. Eine apparative Diagnostik darf die antibiotische Therapie nicht verzögern.

• Diagnostikum der Wahl ist nach der Sonografie die CT. Mit ihr ist eine exakte Lokalisation, aber auch die interventionelle Drainage des Infektionsherdes möglich.

• Zur erfolgreichen Therapie der Sepsis mit intraabdominellem Fokus ist ein hohes Maß an Interdisziplinarität gefordert.

• Literatur

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