Secondary Peritonitis
Complicated Gastroduodenal Perforation

Complicated Gastroduodenal Perforation

Empiric Treatment:

Check one:

Those who do not meet criteria for severe infection but may have:

  • SIRS (two or more of: Temperature >38°C or <36°C; Heart rate >90/min; Respiratory rate >20/min; White blood cell count >12,000/mm3 or <4,000mm3)
  • Co-morbidities (e.g. diabetes, advanced age)
  • Significant pain

Requiring ICU admission, or

Sepsis (life-threatening organ dysfunction e.g. hypotension, acute renal failure, caused by dysregulated host response to infection)

Check one:

Acquired in the outpatient setting

Acquired more than 48 hours post admission without immediate repair, or

Hospitalization, surgery, regular outpatient visits (e.g. dialysis, chemotherapy) within last 90 days or residing in long term care