PMID- 24604309 OWN - NLM STAT- MEDLINE DCOM- 20140930 LR - 20191210 IS - 1678-2674 (Electronic) IS - 0102-8650 (Linking) VI - 29 IP - 2 DP - 2014 Feb TI - Severe autogenously fecal peritonitis in Wistar rats with permanent bilateral carotid occlusion. Response to intra peritoneal moxifloxacin combined with dexamethasone. PG - 76-81 LID - S0102-86502014000200076 [pii] LID - 10.1590/S0102-86502014000200001 [doi] AB - PURPOSE: To evaluate the treatment outcome of severe peritonitis in rats submitted to permanent bilateral carotid occlusion (PBCO). METHODS: Sixteen Wistar rats (mean age of 8.5 months) with PBCO underwent autogenously fecal peritonitis, and were treated with moxifloxacin combined with dexamethasone, and followed-up for 45 days. Ten rats (mean age five months) without PBCO were used as a control group. The variables were expressed by their mean and standard error of the mean (SEM). p<0.05 was used for rejecting the null hypothesis. The study was approved by the Ethics Committee. RESULTS: There was a significant increase (p=0.0002) in the mortality and morbidity in older rats that underwent PBCO (study group). However, even among the survival rats presenting with severe residual abscesses both in the abdomen and thorax cavities, they present an almost normal life. CONCLUSIONS: The treatment of severe autogenously fecal peritonitis with intraperitoneal moxifloxacin combined with dexamethasone was very effective in young rats without permanent bilateral carotid occlusion. The treatment reached reasonable results in older rats with PBCO, even considering residual abscesses on abdomen and thorax. Older age was the greater risk factor for the outcome of the treatment of severe peritonitis. Sepsis remains a challenging situation, especially in elderly. FAU - Melo, Maria Cecilia Santos Cavalcanti AU - Melo MC AD - Campina Grande Faculty of Medicine, Department of Ophthalmology, Campina GrandePB, Brazil, IFellow PhD degree, Postgraduate Program in Surgery, Health Sciences Center, Federal University of Pernambuco (UFPE). Assistant Professor, Department of Ophthalmology, Campina Grande Faculty of Medicine (FCM), Campina Grande-PB, Brazil. Acquisition and interpretation of data, manuscript writing. FAU - Gadelha, Diego Nery Benevides AU - Gadelha DN AD - FCM, Department of Ophthalmology, Campina GrandePB, Brazil, IIFellow PhD degree, Postgraduate Program in Surgery, Health Sciences Center, UFPE, Recife-PE. Associate Professor, Department of Ophthalmology, FCM, Campina Grande-PB, Brazil. Manuscript writing, critical revision. FAU - Oliveira, Tharcia Kiara Beserra AU - Oliveira TK AD - Campina Grande University, Campina GrandePB, Brazil, IIIFellow Master Degree in Agricultural Engineering, Federal Campina Grande University (UFCG)-PB, Campina Grande-PB, Brazil. Acquisition and interpretation of data. FAU - Brandt, Carlos Teixeira AU - Brandt CT AD - UFPE, Campina GrandePB, Brazil, IVPhD, Head Professor, Scientific Methodology and Pediatric Surgery, UFPE, Recife-PE. Coordinator, FCM, Campina Grande-PB, Brazil. Interpretation of data, English version. final revision. LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Brazil TA - Acta Cir Bras JT - Acta cirurgica brasileira JID - 9103983 RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Inflammatory Agents) RN - 0 (Drug Combinations) RN - 0 (Fluoroquinolones) RN - 7S5I7G3JQL (Dexamethasone) RN - U188XYD42P (Moxifloxacin) SB - IM MH - Animals MH - Anti-Bacterial Agents/*therapeutic use MH - Anti-Inflammatory Agents/*therapeutic use MH - *Carotid Artery, Common MH - Dexamethasone/*therapeutic use MH - Drug Combinations MH - Feces MH - Fluoroquinolones/*therapeutic use MH - Models, Animal MH - Moxifloxacin MH - Peritonitis/*drug therapy/pathology MH - Rats, Wistar MH - Reproducibility of Results MH - Time Factors MH - Tissue Adhesions MH - Treatment Outcome EDAT- 2014/03/08 06:00 MHDA- 2014/10/01 06:00 CRDT- 2014/03/08 06:00 PHST- 2013/10/17 00:00 [received] PHST- 2014/01/20 00:00 [accepted] PHST- 2014/03/08 06:00 [entrez] PHST- 2014/03/08 06:00 [pubmed] PHST- 2014/10/01 06:00 [medline] AID - S0102-86502014000200076 [pii] AID - 10.1590/S0102-86502014000200001 [doi] PST - ppublish SO - Acta Cir Bras. 2014 Feb;29(2):76-81. doi: 10.1590/S0102-86502014000200001.