Perforation of the stomach or duodenum, usually due to peptic ulcer disease, but can include iatrogenic or non-iatrogenic trauma, ingested foreign bodies or cancer
Rapid surgical consultation for repair
Test for H. pylori in all patients with peptic ulcer disease and gastric cancer
Assess NSAID use history
Including those on PPIs or with malignancy
Usual Organisms
Helicobacter pylori
Less Common Ogranisms
Organisms of Interest in IAI