Guidelines for management of intra-abdominal infections

Montravers, Philippe; Dupont, Hervé; Léone, Marc; Constantin, Jean-Michel; Mertès, Paul-Michel; Laterre, Pierre‐François; Misset, Benoît; Bru, J.P.; Gauzit, R.; Sotto, Albert; Brigand, Cécile; Hamy, A.; Tuech, Jean‐Jacques

doi:10.1016/j.accpm.2015.03.005

Cited by 126 publications

(113 citation statements)

References 86 publications

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“…They are effective against P. aeruginosa , but are ineffective against anaerobic bacteria and need association with metronidazole. Because of their toxic side effects, some guidelines did not recommend aminoglycosides for the routine empiric treatment of community-acquired IAI, reserving them for patients with allergies to beta-lactam agents or in combination with beta-lactams for treatment of IAI with suspected MDR gram-negative bacteria [292]. …”

Section: Antimicrobial Therapymentioning

confidence: 99%

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

et al. 2017

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Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide.The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important.In hospitals worldwide, non-acceptance of, or lack of access to, accessible evidence-based practices and guidelines result in overall poorer outcome of patients suffering IAIs.The aim of this paper is to promote global standards of care in IAIs and update the 2013 WSES guidelines for management of intra-abdominal infections.

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Section: Antimicrobial Therapymentioning

confidence: 99%

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

et al. 2017

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“…In the last years several guidelines have been published in literature in the setting of intra-abdominal infections [182–186]. However, consideration of local epidemiological data and regional resistance profiles should be essential for antibiotic selection.…”

Section: Discussionmentioning

confidence: 99%

A historical review of surgery for peritonitis secondary to acute colonic diverticulitis: from Lockhart-Mummery to evidence-based medicine

Cirocchi

Afshar

Saverio³

et al. 2017

World J Emerg Surg

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The management of patients with colonic diverticular perforation is still evolving. Initial lavage with or without simple suture and drainage was suggested in the late 19th century, replaced progressively by the three-stage Mayo Clinic or the two-stage Mickulicz procedures. Fears of inadequate source control prompted the implementation of the resection of the affected segment of colon with formation of a colostomy (Hartman procedure) in the 1970’s. Ensuing development of the treatment strategies was driven by the recognition of the high morbidity and mortality and low reversal rates associated with the Hartman procedure. This led to the wider use of resection and primary anastomosis during the 1990’s.The technique of lavage and drainage regained popularity during the 1990’s. This procedure can also be performed laparoscopically with the advantage of faster recovery and shorter hospital stay. This strategy allows resectional surgery to be postponed or avoided altogether in many patients; and higher rates of primary resection and anastomosis can be achieved avoiding the need for a stoma. The three recent randomized controlled trials comparing laparoscopic peritoneal lavage alone to resectional surgery reported inconsistent outcomes.The aim of this review is to review the historical evolution and future reflections of surgical treatment modalities for diffuse purulent and feculent peritonitis. In this review we classified the various surgical strategies according to Krukowski et al. and Vermeulen et al. and reviewed the literature related to surgical treatment separately for each period.

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“…A number of guidelines have been published evaluating antimicrobial management of IAIs [13,[40][41][42][43][44][45][46][47]. Only few studies have documented the impact of ASPs in the management of IAIs, however.…”

Section: Call To Action For Surgeons 627mentioning

confidence: 99%

Antimicrobial Stewardship: A Call to Action for Surgeons

Sartelli

Duane

Catena

et al. 2016

Surgical Infections

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Despite current antimicrobial stewardship programs (ASPs) being advocated by infectious disease specialists and discussed by national and international policy makers, ASPs coverage remains limited to only certain hospitals as well as specific service lines within hospitals. The ASPs incorporate a variety of strategies to optimize antimicrobial agent use in the hospital, yet the exact set of interventions essential to ASP success remains unknown. Promotion of ASPs across clinical practice is crucial to their success to ensure standardization of antimicrobial agent use within an institution. To effectively accomplish this standardization, providers who actively engage in antimicrobial agent prescribing should participate in the establishment and support of these programs. Hence, surgeons need to play a major role in these collaborations. Surgeons must be aware that judicious antibiotic utilization is an integral part of any stewardship program and necessary to maximize clinical cure and minimize emergence of antimicrobial resistance. The battle against antibiotic resistance should be fought by all healthcare professionals. If surgeons around the world participate in this global fight and demonstrate awareness of the major problem of antimicrobial resistance, they will be pivotal leaders. If surgeons fail to actively engage and use antibiotics judiciously, they will find themselves deprived of the autonomy to treat their patients.Keywords: antibiotic prophylaxis; intra-abdominal infection; necrotizing soft tissue infection; surgical site infection; trauma A lthough most surgeons are aware of the problem of antimicrobial resistance, most underestimate this problem in their own hospital. Surgeons should always optimize antimicrobial management to maximize clinical outcome and minimize emergence of antimicrobial resistance. The necessity of formalized systematic approaches to the optimization of antibiotic therapy in the setting of surgical units worldwide, both for elective and emergency admissions, has become increasingly urgent.In 2013, a Cochrane review was published to estimate the effectiveness of professional interventions in antibiotic stewardship for hospital inpatients and to evaluate the impact of these interventions on reducing the incidence of antimicrobial resistance or Clostridium difficile infection [1]. The results showed that interventions to reduce excessive antibiotic prescribing to hospital inpatients were able to reduce antimicrobial resistance and hospitalacquired infections (HAIs), improving clinical outcome. The meta-analysis supported the use of restrictive interventions when the need is urgent, but suggested that persuasive and restrictive interventions are equally effective after six months.

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Guidelines for management of intra-abdominal infections

Cited by 126 publications

References 86 publications

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

A historical review of surgery for peritonitis secondary to acute colonic diverticulitis: from Lockhart-Mummery to evidence-based medicine

Antimicrobial Stewardship: A Call to Action for Surgeons

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