Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study

<p>Abstract</p> <p>The CIAO Study (“<it>C</it>omplicated <it>Intra-A</it>bdominal infection <it>O</it>bservational” Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observat...

Full description

Bibliographic Details
Main Authors: Sartelli Massimo, Catena Fausto, Ansaloni Luca, Leppaniemi Ari, Taviloglu Korhan, van Goor Harry, Viale Pierluigi, Lazzareschi Daniel, Coccolini Federico, Corbella Davide, de Werra Carlo, Marrelli Daniele, Colizza Sergio, Scibè Rodolfo, Alis Halil, Torer Nurkan, Navarro Salvador, Sakakushev Boris, Massalou Damien, Augustin Goran, Catani Marco, Kauhanen Saila, Pletinckx Pieter, Kenig Jakub, Di Saverio Salomone, Jovine Elio, Guercioni Gianluca, Skrovina Matej, Diaz-Nieto Rafael, Ferrero Alessandro, Rausei Stefano, Laine Samipetteri, Major Piotr, Angst Eliane, Pittet Olivier, Herych Ihor, Agresta Ferdinando, Vettoretto Nereo, Poiasina Elia, Tepp Jaan, Weiss Gunter, Vasquez Giorgio, Vladov Nikola, Tranà Cristian, Delibegovic Samir, Dziki Adam, Giraudo Giorgio, Pereira Jorge, Tzerbinis Helen, van Dellen David, Hutan Martin, Vereczkei Andras, Krasniqi Avdyl, Seretis Charalampos, Mesina Cristian, Rems Miran, Campanile Fabio, Coletta Pietro, Uotila-Nieminen Mirjami, Dente Mario, Bouliaris Konstantinos, Lasithiotakis Konstantinos, Khokha Vladimir, Zivanovic Dragoljub, Smirnov Dmitry, Marinis Athanasios, Negoi Ionut, Ney Ludwig, Bini Roberto, Leon Miguel, Aloia Sergio, Huchon Cyrille, Moldovanu Radu, de Melo Renato, Giakoustidis Dimitrios, Ioannidis Orestis, Cucchi Michele, Pintar Tadeja, Krivokapic Zoran, Petrovic Jelena
Format: Article
Language:English
Published: BMC 2012-11-01
Series:World Journal of Emergency Surgery
Online Access:http://www.wjes.org/content/7/1/36
_version_ 1811252067611705344
author Sartelli Massimo
Catena Fausto
Ansaloni Luca
Leppaniemi Ari
Taviloglu Korhan
van Goor Harry
Viale Pierluigi
Lazzareschi Daniel
Coccolini Federico
Corbella Davide
de Werra Carlo
Marrelli Daniele
Colizza Sergio
Scibè Rodolfo
Alis Halil
Torer Nurkan
Navarro Salvador
Sakakushev Boris
Massalou Damien
Augustin Goran
Catani Marco
Kauhanen Saila
Pletinckx Pieter
Kenig Jakub
Di Saverio Salomone
Jovine Elio
Guercioni Gianluca
Skrovina Matej
Diaz-Nieto Rafael
Ferrero Alessandro
Rausei Stefano
Laine Samipetteri
Major Piotr
Angst Eliane
Pittet Olivier
Herych Ihor
Agresta Ferdinando
Vettoretto Nereo
Poiasina Elia
Tepp Jaan
Weiss Gunter
Vasquez Giorgio
Vladov Nikola
Tranà Cristian
Delibegovic Samir
Dziki Adam
Giraudo Giorgio
Pereira Jorge
Tzerbinis Helen
van Dellen David
Hutan Martin
Vereczkei Andras
Krasniqi Avdyl
Seretis Charalampos
Mesina Cristian
Rems Miran
Campanile Fabio
Coletta Pietro
Uotila-Nieminen Mirjami
Dente Mario
Bouliaris Konstantinos
Lasithiotakis Konstantinos
Khokha Vladimir
Zivanovic Dragoljub
Smirnov Dmitry
Marinis Athanasios
Negoi Ionut
Ney Ludwig
Bini Roberto
Leon Miguel
Aloia Sergio
Huchon Cyrille
Moldovanu Radu
de Melo Renato
Giakoustidis Dimitrios
Ioannidis Orestis
Cucchi Michele
Pintar Tadeja
Krivokapic Zoran
Petrovic Jelena
author_facet Sartelli Massimo
Catena Fausto
Ansaloni Luca
Leppaniemi Ari
Taviloglu Korhan
van Goor Harry
Viale Pierluigi
Lazzareschi Daniel
Coccolini Federico
Corbella Davide
de Werra Carlo
Marrelli Daniele
Colizza Sergio
Scibè Rodolfo
Alis Halil
Torer Nurkan
Navarro Salvador
Sakakushev Boris
Massalou Damien
Augustin Goran
Catani Marco
Kauhanen Saila
Pletinckx Pieter
Kenig Jakub
Di Saverio Salomone
Jovine Elio
Guercioni Gianluca
Skrovina Matej
Diaz-Nieto Rafael
Ferrero Alessandro
Rausei Stefano
Laine Samipetteri
Major Piotr
Angst Eliane
Pittet Olivier
Herych Ihor
Agresta Ferdinando
Vettoretto Nereo
Poiasina Elia
Tepp Jaan
Weiss Gunter
Vasquez Giorgio
Vladov Nikola
Tranà Cristian
Delibegovic Samir
Dziki Adam
Giraudo Giorgio
Pereira Jorge
Tzerbinis Helen
van Dellen David
Hutan Martin
Vereczkei Andras
Krasniqi Avdyl
Seretis Charalampos
Mesina Cristian
Rems Miran
Campanile Fabio
Coletta Pietro
Uotila-Nieminen Mirjami
Dente Mario
Bouliaris Konstantinos
Lasithiotakis Konstantinos
Khokha Vladimir
Zivanovic Dragoljub
Smirnov Dmitry
Marinis Athanasios
Negoi Ionut
Ney Ludwig
Bini Roberto
Leon Miguel
Aloia Sergio
Huchon Cyrille
Moldovanu Radu
de Melo Renato
Giakoustidis Dimitrios
Ioannidis Orestis
Cucchi Michele
Pintar Tadeja
Krivokapic Zoran
Petrovic Jelena
author_sort Sartelli Massimo
collection DOAJ
description <p>Abstract</p> <p>The CIAO Study (“<it>C</it>omplicated <it>Intra-A</it>bdominal infection <it>O</it>bservational” Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012).</p> <p>Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.</p> <p>2,152 patients with a mean age of 53.8 years (range: 4–98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified.</p> <p>The overall mortality rate was 7.5% (163/2.152).</p> <p>According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission.</p> <p>Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe.</p>
first_indexed 2024-04-12T16:29:19Z
format Article
id doaj.art-757d057ce61d40c1907715acfb178bf1
institution Directory Open Access Journal
issn 1749-7922
language English
last_indexed 2024-04-12T16:29:19Z
publishDate 2012-11-01
publisher BMC
record_format Article
series World Journal of Emergency Surgery
spelling doaj.art-757d057ce61d40c1907715acfb178bf12022-12-22T03:25:14ZengBMCWorld Journal of Emergency Surgery1749-79222012-11-01713610.1186/1749-7922-7-36Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO studySartelli MassimoCatena FaustoAnsaloni LucaLeppaniemi AriTaviloglu Korhanvan Goor HarryViale PierluigiLazzareschi DanielCoccolini FedericoCorbella Davidede Werra CarloMarrelli DanieleColizza SergioScibè RodolfoAlis HalilTorer NurkanNavarro SalvadorSakakushev BorisMassalou DamienAugustin GoranCatani MarcoKauhanen SailaPletinckx PieterKenig JakubDi Saverio SalomoneJovine ElioGuercioni GianlucaSkrovina MatejDiaz-Nieto RafaelFerrero AlessandroRausei StefanoLaine SamipetteriMajor PiotrAngst ElianePittet OlivierHerych IhorAgresta FerdinandoVettoretto NereoPoiasina EliaTepp JaanWeiss GunterVasquez GiorgioVladov NikolaTranà CristianDelibegovic SamirDziki AdamGiraudo GiorgioPereira JorgeTzerbinis Helenvan Dellen DavidHutan MartinVereczkei AndrasKrasniqi AvdylSeretis CharalamposMesina CristianRems MiranCampanile FabioColetta PietroUotila-Nieminen MirjamiDente MarioBouliaris KonstantinosLasithiotakis KonstantinosKhokha VladimirZivanovic DragoljubSmirnov DmitryMarinis AthanasiosNegoi IonutNey LudwigBini RobertoLeon MiguelAloia SergioHuchon CyrilleMoldovanu Radude Melo RenatoGiakoustidis DimitriosIoannidis OrestisCucchi MichelePintar TadejaKrivokapic ZoranPetrovic Jelena<p>Abstract</p> <p>The CIAO Study (“<it>C</it>omplicated <it>Intra-A</it>bdominal infection <it>O</it>bservational” Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012).</p> <p>Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.</p> <p>2,152 patients with a mean age of 53.8 years (range: 4–98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified.</p> <p>The overall mortality rate was 7.5% (163/2.152).</p> <p>According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission.</p> <p>Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe.</p>http://www.wjes.org/content/7/1/36
spellingShingle Sartelli Massimo
Catena Fausto
Ansaloni Luca
Leppaniemi Ari
Taviloglu Korhan
van Goor Harry
Viale Pierluigi
Lazzareschi Daniel
Coccolini Federico
Corbella Davide
de Werra Carlo
Marrelli Daniele
Colizza Sergio
Scibè Rodolfo
Alis Halil
Torer Nurkan
Navarro Salvador
Sakakushev Boris
Massalou Damien
Augustin Goran
Catani Marco
Kauhanen Saila
Pletinckx Pieter
Kenig Jakub
Di Saverio Salomone
Jovine Elio
Guercioni Gianluca
Skrovina Matej
Diaz-Nieto Rafael
Ferrero Alessandro
Rausei Stefano
Laine Samipetteri
Major Piotr
Angst Eliane
Pittet Olivier
Herych Ihor
Agresta Ferdinando
Vettoretto Nereo
Poiasina Elia
Tepp Jaan
Weiss Gunter
Vasquez Giorgio
Vladov Nikola
Tranà Cristian
Delibegovic Samir
Dziki Adam
Giraudo Giorgio
Pereira Jorge
Tzerbinis Helen
van Dellen David
Hutan Martin
Vereczkei Andras
Krasniqi Avdyl
Seretis Charalampos
Mesina Cristian
Rems Miran
Campanile Fabio
Coletta Pietro
Uotila-Nieminen Mirjami
Dente Mario
Bouliaris Konstantinos
Lasithiotakis Konstantinos
Khokha Vladimir
Zivanovic Dragoljub
Smirnov Dmitry
Marinis Athanasios
Negoi Ionut
Ney Ludwig
Bini Roberto
Leon Miguel
Aloia Sergio
Huchon Cyrille
Moldovanu Radu
de Melo Renato
Giakoustidis Dimitrios
Ioannidis Orestis
Cucchi Michele
Pintar Tadeja
Krivokapic Zoran
Petrovic Jelena
Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
World Journal of Emergency Surgery
title Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
title_full Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
title_fullStr Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
title_full_unstemmed Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
title_short Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
title_sort complicated intra abdominal infections in europe a comprehensive review of the ciao study
url http://www.wjes.org/content/7/1/36
work_keys_str_mv AT sartellimassimo complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT catenafausto complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT ansaloniluca complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT leppaniemiari complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT taviloglukorhan complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT vangoorharry complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT vialepierluigi complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT lazzareschidaniel complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT coccolinifederico complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT corbelladavide complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT dewerracarlo complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT marrellidaniele complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT colizzasergio complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT sciberodolfo complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT alishalil complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT torernurkan complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT navarrosalvador complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT sakakushevboris complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT massaloudamien complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT augustingoran complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT catanimarco complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT kauhanensaila complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT pletinckxpieter complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT kenigjakub complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT disaveriosalomone complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT jovineelio complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT guercionigianluca complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT skrovinamatej complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT diaznietorafael complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT ferreroalessandro complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT rauseistefano complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT lainesamipetteri complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT majorpiotr complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT angsteliane complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT pittetolivier complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT herychihor complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT agrestaferdinando complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT vettorettonereo complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT poiasinaelia complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT teppjaan complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT weissgunter complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT vasquezgiorgio complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT vladovnikola complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT tranacristian complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT delibegovicsamir complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT dzikiadam complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT giraudogiorgio complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT pereirajorge complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT tzerbinishelen complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT vandellendavid complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT hutanmartin complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT vereczkeiandras complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT krasniqiavdyl complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT seretischaralampos complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT mesinacristian complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT remsmiran complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT campanilefabio complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT colettapietro complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT uotilanieminenmirjami complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT dentemario complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT bouliariskonstantinos complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT lasithiotakiskonstantinos complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT khokhavladimir complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT zivanovicdragoljub complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT smirnovdmitry complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT marinisathanasios complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT negoiionut complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT neyludwig complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT biniroberto complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT leonmiguel complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT aloiasergio complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT huchoncyrille complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT moldovanuradu complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT demelorenato complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT giakoustidisdimitrios complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT ioannidisorestis complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT cucchimichele complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT pintartadeja complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT krivokapiczoran complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy
AT petrovicjelena complicatedintraabdominalinfectionsineuropeacomprehensivereviewoftheciaostudy