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The Surgical Infection Society Guidelines on the Management of Intra-Abdominal Infection: 2024 Update.
Huston, Jared M; Barie, Philip S; Dellinger, E Patchen; Forrester, Joseph D; Duane, Therese M; Tessier, Jeffrey M; Sawyer, Robert G; Cainzos, Miguel A; Rasa, Kemal; Chipman, Jeffrey G; Kao, Lillian S; Pieracci, Frederic M; Colling, Kristin P; Heffernan, Daithi S; Lester, Janice.
Afiliación
  • Huston JM; Departments of Surgery and Science Education, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, New Hyde Park, New York, USA.
  • Barie PS; Departments of Surgery and Medicine, Weill Cornell Medicine, East Northport, New York, USA.
  • Dellinger EP; Department of Surgery, University of Washington, Seattle, Washington, USA.
  • Forrester JD; Department of Surgery, Stanford University, Stanford, California, USA.
  • Duane TM; Department of Surgery, Medical City Plano, Plano, Texas, USA.
  • Tessier JM; Division of Infectious Diseases and Geographic Medicine, University of Texas-Southwestern, Dallas, Texas, USA.
  • Sawyer RG; Department of Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan, USA.
  • Cainzos MA; Department of Surgery, University of Santiago de Compostela, Hospital Clínico Universitario, Santiago de Compostela, Spain.
  • Rasa K; Department of Surgery, Anadolu Medical Center, Kocaeli, Turkey.
  • Chipman JG; Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
  • Kao LS; Department of Surgery, UTHealth Houston John P. and Kathrine G. McGovern Medical School, Houston, Texas, USA.
  • Pieracci FM; Department of Surgery, Ernest E. Moore Shock Trauma Center at Denver Health, Denver, Colorado, USA.
  • Colling KP; Department of Trauma and Critical Care Surgery, Essentia Health, St. Mary's Medical Center, Duluth, Minnesota, USA.
  • Heffernan DS; Department of Surgery, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
  • Lester J; Health Sciences Library, Long Island Jewish Medical Center, Northwell Health, New Hyde Park, New York, USA.
Surg Infect (Larchmt) ; 25(6): 419-435, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38990709
ABSTRACT

Background:

The Surgical Infection Society (SIS) published evidence-based guidelines for the management of intra-abdominal infection (IAI) in 1992, 2002, 2010, and 2017. Here, we present the most recent guideline update based on a systematic review of current literature.

Methods:

The writing group, including current and former members of the SIS Therapeutics and Guidelines Committee and other individuals with content or guideline expertise within the SIS, working with a professional librarian, performed a systematic review using PubMed/Medline, the Cochrane Library, Embase, and Web of Science from 2016 until February 2024. Keyword descriptors combined "surgical site infections" or "intra-abdominal infections" in adults limited to randomized controlled trials, systematic reviews, and meta-analyses. Additional relevant publications not in the initial search but identified during literature review were included. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system was utilized to evaluate the evidence. The strength of each recommendation was rated strong (1) or weak (2). The quality of the evidence was rated high (A), moderate (B), or weak (C). The guideline contains new recommendations and updates to recommendations from previous IAI guideline versions. Final recommendations were developed by an iterative process. All writing group members voted to accept or reject each recommendation.

Results:

This updated evidence-based guideline contains recommendations from the SIS for the treatment of adult patients with IAI. Evidence-based recommendations were developed for antimicrobial agent selection, timing, route of administration, duration, and de-escalation; timing of source control; treatment of specific pathogens; treatment of specific intra-abdominal disease processes; and implementation of hospital-based antimicrobial agent stewardship programs.

Summary:

This document contains the most up-to-date recommendations from the SIS on the prevention and management of IAI in adult patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Intraabdominales Límite: Humans Idioma: En Revista: Surg Infect (Larchmt) Asunto de la revista: BACTERIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Intraabdominales Límite: Humans Idioma: En Revista: Surg Infect (Larchmt) Asunto de la revista: BACTERIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos