Management of infection in the surgical patient.
While surgical infections are seemingly a heterogeneous group of disease entities, there are several common features that permit a general approach to their diagnosis and management. These properties include: the polymicrobial nature of the flora in most infections, the association of the infection with some underlying pathological process, and appropriate treatment often includes both broad-spectrum antimicrobial therapy and some surgical or radiological intervention to promote eradication of the infection. For the purpose of this review, intra-abdominal infection will be used as the prototypical surgical infection because it embodies many of the general features of most infections.
Research Fellow, Division of General Surgery, University of Toronto, Toronto, Canada.
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McGilvray
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Rotstein