Nejvíce citovaný článek - PubMed ID 27478494
WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting
Intra-abdominal infections (IAIs) are an important cause of morbidity and mortality in hospital settings worldwide. The cornerstones of IAI management include rapid, accurate diagnostics; timely, adequate source control; appropriate, short-duration antimicrobial therapy administered according to the principles of pharmacokinetics/pharmacodynamics and antimicrobial stewardship; and hemodynamic and organ functional support with intravenous fluid and adjunctive vasopressor agents for critical illness (sepsis/organ dysfunction or septic shock after correction of hypovolemia). In patients with IAIs, a personalized approach is crucial to optimize outcomes and should be based on multiple aspects that require careful clinical assessment. The anatomic extent of infection, the presumed pathogens involved and risk factors for antimicrobial resistance, the origin and extent of the infection, the patient's clinical condition, and the host's immune status should be assessed continuously to optimize the management of patients with complicated IAIs.
- Klíčová slova
- Antimicrobial resistance, Antimicrobial therapy, Intra-abdominal infections, Source control,
- MeSH
- antibakteriální látky terapeutické užití MeSH
- lidé MeSH
- nitrobřišní infekce * farmakoterapie MeSH
- rizikové faktory MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Názvy látek
- antibakteriální látky MeSH
Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The cornerstones of effective treatment of IAIs include early recognition, adequate source control, appropriate antimicrobial therapy, and prompt physiologic stabilization using a critical care environment, combined with an optimal surgical approach. Together, the World Society of Emergency Surgery (WSES), the Global Alliance for Infections in Surgery (GAIS), the Surgical Infection Society-Europe (SIS-E), the World Surgical Infection Society (WSIS), and the American Association for the Surgery of Trauma (AAST) have jointly completed an international multi-society document in order to facilitate clinical management of patients with IAIs worldwide building evidence-based clinical pathways for the most common IAIs. An extensive non-systematic review was conducted using the PubMed and MEDLINE databases, limited to the English language. The resulting information was shared by an international task force from 46 countries with different clinical backgrounds. The aim of the document is to promote global standards of care in IAIs providing guidance to clinicians by describing reasonable approaches to the management of IAIs.
- Klíčová slova
- Intra-abdominal infections, Peritonitis, Sepsis,
- MeSH
- antibakteriální látky terapeutické užití MeSH
- antiinfekční látky * terapeutické užití MeSH
- kritické cesty MeSH
- lidé MeSH
- nitrobřišní infekce * farmakoterapie chirurgie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Názvy látek
- antibakteriální látky MeSH
- antiinfekční látky * MeSH
Acute colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in the acute setting. An international multidisciplinary panel of experts from the World Society of Emergency Surgery (WSES) updated its guidelines for management of acute left-sided colonic diverticulitis (ALCD) according to the most recent available literature. The update includes recent changes introduced in the management of ALCD. The new update has been further integrated with advances in acute right-sided colonic diverticulitis (ARCD) that is more common than ALCD in select regions of the world.
- Klíčová slova
- Abscess, Acute left-sided colonic diverticulitis, Acute right-sided colonic diverticulitis, Peritonitis,
- MeSH
- akutní nemoc MeSH
- divertikulitida tlustého střeva klasifikace chirurgie MeSH
- lidé MeSH
- urgentní služby nemocnice * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- směrnice pro lékařskou praxi MeSH
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.
- Klíčová slova
- Antibiotics, Intra-abdominal infections, Peritonitis, Sepsis,
- MeSH
- antibakteriální látky terapeutické užití MeSH
- chirurgové organizace a řízení trendy MeSH
- lidé MeSH
- management nemoci MeSH
- nitrobřišní infekce farmakoterapie chirurgie MeSH
- peritonitida farmakoterapie MeSH
- poranění břicha farmakoterapie chirurgie MeSH
- sepse farmakoterapie chirurgie MeSH
- směrnice jako téma * MeSH
- společnosti lékařské organizace a řízení trendy MeSH
- vyhodnocení orgánové dysfunkce MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Názvy látek
- antibakteriální látky MeSH
This paper reports on the consensus conference on the management of intra-abdominal infections (IAIs) which was held on July 23, 2016, in Dublin, Ireland, as a part of the annual World Society of Emergency Surgery (WSES) meeting. This document covers all aspects of the management of IAIs. The Grading of Recommendations Assessment, Development and Evaluation recommendation is used, and this document represents the executive summary of the consensus conference findings.
- Klíčová slova
- Antibiotics, Intra-abdominal infections, Peritonitis, Sepsis,
- MeSH
- antibakteriální látky terapeutické užití MeSH
- apendektomie metody MeSH
- bolesti břicha etiologie MeSH
- cholecystektomie laparoskopická metody MeSH
- divertikulitida chirurgie MeSH
- laparoskopie metody statistika a číselné údaje MeSH
- lidé MeSH
- metody pro podporu rozhodování MeSH
- nitrobřišní hypertenze etiologie prevence a kontrola MeSH
- nitrobřišní infekce komplikace chirurgie MeSH
- počítačová rentgenová tomografie metody MeSH
- směrnice jako téma * MeSH
- ultrasonografie metody MeSH
- vyhodnocení orgánové dysfunkce MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- konsensus - konference MeSH
- přehledy MeSH
- Názvy látek
- antibakteriální látky MeSH