One day after undergoing surgical resection of the colon, he develops a fever to 102 degree F, shaking chills, and abdominal pain. Appendicitis is one of the most common cause of intra-abdominal infection.
Perforation is a cause of primary bacterial peritonitis.
E. Coli is likely to colonize the biliary tract in patients with acute cholecystitis. In most cases of primary peritonitis, drainage procedures may not be required. Clindamycin is superior to metronidazole in its efficacy when combined with gentamicin in intra-abdominal infections. For most intra-abdominal infections, the regimen should only be effective against aerobic bacteria.