最後更新:2026年10月1日
手術後切口或深層組織的細菌感染。分為表淺切口、深層切口及器官/腔室感染。早期識別及治療可避免嚴重併發症。
Feline infectious peritonitis (FIP) is caused by mutated feline enteric coronavirus. Effusive (wet) and non-effusive (dry) forms occur. GS-441524 (and related antiviral nucleoside analogues) have shown remarkable efficacy. FeLV and FIV testing (SNAP combo) is recommended for all cats.
發生率2-5%(清潔手術)至15-20%(污染手術)
這頁有幾個欄位是同系統共用的模板,還沒針對本疾病單獨改寫過。請以臨床判斷為準,記得對照下方文獻。
建議:積極輸液矯正脫水,敗血症時 bolus 10-20 mL/kg 評估反應
速率:10-20 mL/kg
| 藥物 | 劑量 | 頻率 | 路徑 | 優先級 |
|---|---|---|---|---|
| Cefazolin Sodium 頭孢唑林。Antibacterial | 犬 20-25 mg/kg q8h IV/IM;貓 20-25 mg/kg q8h IV/IM | Q8H | IV | 首選 |
監測頻率:q4-6h(住院);居家每日
[1]Postoperative complications and antibiotic use in dogs with pyometra: a retrospective review of 140 cases (2019).
[2]Wound-Related Complication in Growth-Friendly Spinal Surgeries for Early-Onset Scoliosis-Literature Review.
[3]Preoperative skin asepsis protocols using chlorhexidine versus povidone-iodine in veterinary surgery: A systematic review and meta-analysis.
[4]Successful Clindamycin Therapy of an Infected Subcutaneous Permanent Pacing Lead in a Dog after a Failed Course with Potentiated Amoxicillin and Enrofloxacin.
[5]Effect of the number of door openings in the operating room on surgical site infections: individual-patient data meta-analysis.
病情可能在 24-48 小時內惡化,需盡快評估與處置 (may deteriorate within 24-48h, prompt evaluation needed)
飼主衛教
用藥指引
⚠ 警訊症狀(立即回診)
環境調整
長期計畫:傳染病治癒後追蹤抗體/PCR 確認清除
限制活動
限制活動保存體力,隔離避免傳染
期間:感染控制後恢復
表淺感染經治療預後良好。深層或器官感染需積極處理,可能延長恢復期數週。MRSA感染治療困難,預後較差。
手術部位感染 診斷流程
詳細問診包括發病經過、用藥史、飲食與環境
CBC、生化全套、尿液分析
來源:自動產生