{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T20:50:09Z","timestamp":1773089409557,"version":"3.50.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:00:00Z","timestamp":1646179200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:00:00Z","timestamp":1646179200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Infection"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The presence of the SARS-CoV-2 in the peritoneal fluid is a matter of debate in the COVID-19 literature. The study aimed to report the prevalence of SARS-CoV-2 in the peritoneal fluid of patients with nasopharyngeal swab tested positive for SARS-CoV-2 undergoing emergency surgery and review the literature.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The present study was conducted between March 2020 and June 2021. Diagnosis of SARS-CoV-2 positivity was confirmed by preoperative real-time reverse transcriptase-polymerase chain reaction (RT-PCR).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Eighteen patients with positive nasopharyngeal swabs were operated in emergency in two third-level Italian hospitals. In 13 of these patients (72%), a peritoneal swab was analyzed: SARS-CoV-2 RNA was found in the abdominal fluid of two patients (15%). Neither of them had visceral perforation and one patient died. In ten patients with negative peritoneal swabs, visceral perforation and mortality rates were 30% and 20%, respectively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>SARS-CoV-2 peritoneal positivity is rare. Abdominal surgery can, therefore, be safely performed in patients with COVID-19 using standard precautions. The correlation with a visceral perforation is not evaluable. The clinical outcomes seem uninfluenced by the viral colonization of the peritoneum. Assessment in large series to provide definitive answers about the involvement of the SARS-CoV-2 in the peritoneum will be challenging to coordinate.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s15010-022-01785-z","type":"journal-article","created":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T17:02:46Z","timestamp":1646240566000},"page":"989-993","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Positive peritoneal swab in SARS-CoV-2 patients undergoing abdominal emergency surgery: effect or cause?"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1615-3370","authenticated-orcid":false,"given":"Dario","family":"Tartaglia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Barberis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Coccolini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Pistello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariangela","family":"Rutigliani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Chiarugi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,3,2]]},"reference":[{"key":"1785_CR1","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1016\/j.surg.2020.05.033","volume":"168","author":"B Seeliger","year":"2020","unstructured":"Seeliger B, Philouze G, Benotmane I, et al. Is the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) present intraperitoneally in patients with coronavirus disease 2019 (COVID-19) infection undergoing emergency operations? Surgery. 2020;168:220\u20131.","journal-title":"Surgery"},{"key":"1785_CR2","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1016\/j.kint.2020.06.012","volume":"98","author":"O El Shamy","year":"2020","unstructured":"El Shamy O, Vassalotti JA, Sharma S, et al. Coronavirus disease 2019 (COVID-19) hospitalized patients with acute kidney injury treated with acute peritoneal dialysis do not have infectious peritoneal dialysis effluent. Kidney Int. 2020;98:782.","journal-title":"Kidney Int"},{"issue":"3","key":"1785_CR3","doi-asserted-by":"publisher","first-page":"e253","DOI":"10.1097\/SLA.0000000000004165","volume":"272","author":"S Safari","year":"2020","unstructured":"Safari S, Keyvani H, Malekpour Alamdari N, et al. Abdominal Surgery in Patients With COVID-19: Detection of SARS-CoV-2 in Abdominal and Adipose Tissues. Ann Surg. 2020;272(3):e253\u20136.","journal-title":"Ann Surg"},{"issue":"8","key":"1785_CR4","doi-asserted-by":"publisher","first-page":"e259","DOI":"10.1002\/bjs.11713","volume":"107","author":"S Flemming","year":"2020","unstructured":"Flemming S, Hankir M, Hering I, et al. Abdominal fluid samples (negative for SARS-CoV-2) from a critically unwell patient with respiratory COVID-19. Br J Surg. 2020;107(8):e259\u201360.","journal-title":"Br J Surg"},{"key":"1785_CR5","doi-asserted-by":"crossref","unstructured":"Jakimiuk AJ, Januszewski M, Santor-Zaczynska M et al. Absence of SARS-CoV-2 RNA in peritoneal fluid during surgery in pregnant women who are COVID-19 positive. 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