Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations

Autor: Elena Bonati, Yoram Kluger, Fausto Catena, Andrew W. Kirkpatrick, Francesco M. Labricciosa, Alain Chichom-Mefire, Vladimir Khokha, Federico Coccolini, Luca Ansaloni, Fikri M. Abu-Zidan, George C. Velmahos, Salomone Di Saverio, Ernest E. Moore, Gustavo Pereira Fraga, Marco Ceresoli, Raul Coimbra, Ionut Negoi, Massimo Sartelli, Helmut Alfredo Segovia Lohse, Giuffrida Mario, Ronald V. Maier, Zaza Demetrashvili, Carlos A. Ordoñez, Dieter G. Weber, Ari Leppäniemi, Walter L. Biffl, Boris Sakakushev, Imtaz Wani, Gennaro Perrone
Přispěvatelé: Perrone, G, Sartelli, M, Giuffrida, M, Chichom-Mefire, A, Labricciosa, F, Abu-Zidan, F, Ansaloni, L, Biffl, W, Ceresoli, M, Coccolini, F, Coimbra, R, Demetrashvili, Z, Di Saverio, S, Fraga, G, Khokha, V, Kirkpatrick, A, Kluger, Y, Leppaniemi, A, Maier, R, Moore, E, Negoi, I, Ordonez, C, Sakakushev, B, Lohse, H, Velmahos, G, Wani, I, Weber, D, Bonati, E, Catena, F, HUS Abdominal Center
Rok vydání: 2020
Předmět:
0301 basic medicine
Microbiology (medical)
Low income
Standardization
030106 microbiology
MEDLINE
Global Health
Acute cholecystiti
Antimicrobial resistance
Diagnostic tools
Remote area
lcsh:Infectious and parasitic diseases
03 medical and health sciences
Intra-abdominal infection
0302 clinical medicine
Anti-Infective Agents
Emergency surgery
Intra-abdominal infections
Health care
Acute appendicitis
Acute cholecystitis
Acute diverticulitis
Remote areas
Humans
Medicine
lcsh:RC109-216
030212 general & internal medicine
Ultrasonography
business.industry
Abdominal Infection
General Medicine
3126 Surgery
anesthesiology
intensive care
radiology
medicine.disease
Triage
3. Good health
Infectious Diseases
Acute diverticuliti
Income
Intraabdominal Infections
Acute appendiciti
Medical emergency
business
Zdroj: International Journal of Infectious Diseases, Vol 99, Iss, Pp 140-148 (2020)
ISSN: 1201-9712
Popis: Background: Most remote areas have restricted access to healthcare services and are too small andremote to sustain specialist services. In 2017, the World Society of Emergency Surgery (WSES) published guidelines for the management of intra-abdominal infections. Many hospitals, especially those in remote areas, continue to face logistical barriers, leading to an overall poorer adherence to international guidelines. Methods: The aim of this paper is to report and amend the 2017 WSES guidelines for the management of intra-abdominal infections, extending these recommendations for remote areas and low-income countries. A literature search of the PubMed/MEDLINE databases was conducted covering the period up until June 2020. Results: The critical shortages of healthcare workers and material resources in remote areas require the use of a robust triage system. A combination of abdominal signs and symptoms with early warning signs may be used to screen patients needing immediate acute care surgery. A tailored diagnostic step-up approach based on the hospital's resources is recommended. Ultrasound and plain X-ray may be useful diagnostic tools in remote areas. The source of infection should be totally controlled as soon as possible. Conclusions: The cornerstones of effective treatment for intra-abdominal infections in remote areas include early diagnosis, prompt resuscitation, early source control, and appropriate antimicrobial therapy. Standardization in applying the guidelines is mandatory to adequately manage intra-abdominal infections. (c) 2020 Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.
Databáze: OpenAIRE
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