Short-Course Antimicrobial Therapy Does Not Increase Treatment Failure Rate in Patients with Intra-Abdominal Infection Involving Fungal Organisms

Elwood, Nathan R.; Guidry, Christopher A.; Duane, Therèse M.; Cuschieri, Joseph; Cook, Charles H.; O’Neill, Patrick J.; Askari, Reza; Napolitano, Lena M.; Namias, Nicholas; Dellinger, E. Patchen; Watson, Christopher M.; Banton, Kaysie; Blake, David; Hassinger, Taryn E.; Sawyer, Robert G.

doi:10.1089/sur.2017.235

Cited by 16 publications

(10 citation statements)

References 16 publications

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“…In addition, critically ill patients with IAI involving fungal organisms randomized to a shorter course of antimicrobial therapy had no difference in the rate of treatment failure. These results suggest that the presence of fungi in IAI may not independently indicate the need for longer course of antimicrobial therapy [ 106 ].…”

Section: Resultsmentioning

confidence: 99%

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

et al. 2022

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Background Patients presenting with acute abdominal pain that occurs after months or years following bariatric surgery may present for assessment and management in the local emergency units. Due to the large variety of surgical bariatric techniques, emergency surgeons have to be aware of the main functional outcomes and long-term surgical complications following the most performed bariatric surgical procedures. The purpose of these evidence-based guidelines is to present a consensus position from members of the WSES in collaboration with IFSO bariatric experienced surgeons, on the management of acute abdomen after bariatric surgery focusing on long-term complications in patients who have undergone laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. Method A working group of experienced general, acute care, and bariatric surgeons was created to carry out a systematic review of the literature following the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) and to answer the PICO questions formulated after the Operative management in bariatric acute abdomen survey. The literature search was limited to late/long-term complications following laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. Conclusions The acute abdomen after bariatric surgery is a common cause of admission in emergency departments. Knowledge of the most common late/long-term complications (> 4 weeks after surgical procedure) following sleeve gastrectomy and Roux-en-Y gastric bypass and their anatomy leads to a focused management in the emergency setting with good outcomes and decreased morbidity and mortality rates. A close collaboration between emergency surgeons, radiologists, endoscopists, and anesthesiologists is mandatory in the management of this group of patients in the emergency setting.

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Section: Resultsmentioning

confidence: 99%

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

et al. 2022

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“…13,15,20,21,23 The data from Sawyer et al Randomized controlled trial underwent post hoc analyses and were published in three additional manuscripts. 14,24,25 Those post hoc studies were not included in the quantitative analysis and one of the three studies were excluded from qualitative analysis as it looked at fungal IAI specifically. 24 The sixteen studies showed a wide range of heterogeneity (0-100%) among them.…”

Section: Qualitative Analysismentioning

confidence: 99%

“…14,24,25 Those post hoc studies were not included in the quantitative analysis and one of the three studies were excluded from qualitative analysis as it looked at fungal IAI specifically. 24 The sixteen studies showed a wide range of heterogeneity (0-100%) among them. The sample sizes varied from 31 patients to 929 patients.…”

Section: Qualitative Analysismentioning

confidence: 99%

“…16 Two studies specifically looked at critically ill patients. 15,17 In defining what was considered source control for the included studies, we found the following: one study did not specify source control methods, 13 seven studies were focused on surgical control, 11,12,16,[19][20][21][22] seven studies specifically included both operative and percutaneous methods, 2,14,15,17,18,23,24 and one study only focused on percutaneous procedure outcomes. 25 For the purpose of this systematic review, the determination of a short or long duration of antimicrobial treatment was performed by taking the average of how short and long durations were defined in each of the included studies.…”

Section: Qualitative Analysismentioning

confidence: 99%

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Duration of antimicrobial treatment for complicated intra-abdominal infections after definitive source control: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma

Rattan

Patel

et al. 2023

J Trauma Acute Care Surg

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“…Há situações em que realmente há a necessidade de utilizar antimicrobianos por várias semanas como em situações de osteomielite e endocardite, porém caso seja viável o uso de antimicrobianos deve ser abreviado. Há publicações que demonstram que tratamentos mais curtos em comparação aos tratamentos mais longos são igualmente eficientes (43) (44).…”

Section: Redução Da Duração De Terapiaunclassified

Avaliação dos programas de uso racional de antimicrobianos em hospitais do estado de São Paulo

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Short-Course Antimicrobial Therapy Does Not Increase Treatment Failure Rate in Patients with Intra-Abdominal Infection Involving Fungal Organisms

Cited by 16 publications

References 16 publications

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

Operative management of acute abdomen after bariatric surgery in the emergency setting: the OBA guidelines

Duration of antimicrobial treatment for complicated intra-abdominal infections after definitive source control: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma

Avaliação dos programas de uso racional de antimicrobianos em hospitais do estado de São Paulo

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