Pneumonia Complicating Abdominal Sepsis: An Experimental Model of Hematogenous Contamination of the Lung

Summary

Pulmonary infection complicating intra-abdominal sepsis is a major clinical problem.

An experimental model for intra-abdominal sepsis was created with implantation of gelatin capsules, containing 3×10⁸ cfu E. coli strain n° 2554, in the peritoneal cavity of 20 rats (10 animals received and 10 did not receive antibiotic therapy with ceftriaxone) in order to verify the role of the primary site of infection in the pathogenesis of pneumonia. Ten rats were sacrificed to determine the relative pulmonary weight and 10 were submitted to simple laparotomy and insertion of a germ-free capsule (sham-operated group). In this group of animals there was only one death (10%). All the rats that received antibiotic therapy survived until sacrifice while all the rats that did not receive ceftriaxone died, 7 within the 2nd and 3 on the 6th postoperative day.

Pneumonia and peritonitis developed only in the animals that did not receive ceftriaxone. Bacteriological findings of material obtained from peritoneal and pleural cavities revealed the same strain of E. coli used for the experiment, suggesting that bacteria involved in the pleuro-pulmonary infections may originate in the primary site of infection and that antibiotic therapy started at the moment of contamination, can prevent this major complication.

Key Words::

• multiple organ failure
• pneumonia
• ARDS
• intra-abdominal infections