Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations
Background: Most remote areas have restricted access to healthcare services and are too small and remote 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 r...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-10-01
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| Series: | International Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1201971220305907 |
| _version_ | 1828477036764594176 |
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| author | Gennaro Perrone Massimo Sartelli Giuffrida Mario Alain Chichom-Mefire Francesco Maria Labricciosa Fikri M. Abu-Zidan Luca Ansaloni Walter L. Biffl Marco Ceresoli Federico Coccolini Raul Coimbra Zaza Demetrashvili Salomone Di Saverio Gustavo Pereira Fraga Vladimir Khokha Andrew W. Kirkpatrick Yoram Kluger Ari Leppaniemi Ronald V. Maier Ernest Eugene Moore Ionut Negoi Carlos A. Ordonez Boris Sakakushev Helmut A. Segovia Lohse George C. Velmahos Imtaz Wani Dieter G. Weber Elena Bonati Fausto Catena |
| author_facet | Gennaro Perrone Massimo Sartelli Giuffrida Mario Alain Chichom-Mefire Francesco Maria Labricciosa Fikri M. Abu-Zidan Luca Ansaloni Walter L. Biffl Marco Ceresoli Federico Coccolini Raul Coimbra Zaza Demetrashvili Salomone Di Saverio Gustavo Pereira Fraga Vladimir Khokha Andrew W. Kirkpatrick Yoram Kluger Ari Leppaniemi Ronald V. Maier Ernest Eugene Moore Ionut Negoi Carlos A. Ordonez Boris Sakakushev Helmut A. Segovia Lohse George C. Velmahos Imtaz Wani Dieter G. Weber Elena Bonati Fausto Catena |
| author_sort | Gennaro Perrone |
| collection | DOAJ |
| description | Background: Most remote areas have restricted access to healthcare services and are too small and remote 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. |
| first_indexed | 2024-12-11T06:37:19Z |
| format | Article |
| id | doaj.art-f9b8d8b3959b414a845df1ebd65083bb |
| institution | Directory Open Access Journal |
| issn | 1201-9712 |
| language | English |
| last_indexed | 2024-12-11T06:37:19Z |
| publishDate | 2020-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Infectious Diseases |
| spelling | doaj.art-f9b8d8b3959b414a845df1ebd65083bb2022-12-22T01:17:20ZengElsevierInternational Journal of Infectious Diseases1201-97122020-10-0199140148Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nationsGennaro Perrone0Massimo Sartelli1Giuffrida Mario2Alain Chichom-Mefire3Francesco Maria Labricciosa4Fikri M. Abu-Zidan5Luca Ansaloni6Walter L. Biffl7Marco Ceresoli8Federico Coccolini9Raul Coimbra10Zaza Demetrashvili11Salomone Di Saverio12Gustavo Pereira Fraga13Vladimir Khokha14Andrew W. Kirkpatrick15Yoram Kluger16Ari Leppaniemi17Ronald V. Maier18Ernest Eugene Moore19Ionut Negoi20Carlos A. Ordonez21Boris Sakakushev22Helmut A. Segovia Lohse23George C. Velmahos24Imtaz Wani25Dieter G. Weber26Elena Bonati27Fausto Catena28Department of Emergency Surgery, Maggiore Hospital, Parma, ItalyDepartment of Surgery, Macerata Hospital, Macerata, ItalyDepartment of General Surgery, Maggiore Hospital, Parma, Italy; Corresponding author at: Department of General Surgery, Maggiore Hospital, Via A. Gramsci 14, 43126 Parma, Italy.Department of Surgery and Obstetrics/Gynaecology, Regional Hospital, Limbe, CameroonDepartment of Biomedical Sciences and Public Health, Unit of Hygiene, Preventive Medicine and Public Health, Università Politecnica delle Marche, Ancona, ItalyDepartment of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab EmiratesGeneral Surgery Department, Papa Giovanni XXIII Hospital, Bergamo, ItalyAcute Care Surgery at The Queen's Medical Center, John A. Burns School of Medicine, University of Hawai’i, Honolulu, USAGeneral Surgery Department, Papa Giovanni XXIII Hospital, Bergamo, ItalyGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, ItalyDepartment of Surgery, UC San Diego Medical Center, San Diego, CA, USADepartment of Surgery, Tbilisi State Medical University, Kipshidze Central University Hospital, Tbilisi, GeorgiaDepartment of General Surgery, University Hospital of Varese, University of Insubria, Varese, ItalyDivision of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas (Unicamp), Campinas, SP, BrazilDepartment of Emergency Surgery, Mozyr City Hospital, Mozyr, BelarusDepartments of Surgery, Critical Care Medicine, and the Regional Trauma Service, Foothills Medical Centre, Calgary, Alberta, CanadaDepartment of General Surgery, Division of Surgery, Rambam Health Care Campus, Haifa, IsraelAbdominal Center, University Hospital Meilahti, Helsinki, FinlandDepartment of Surgery, University of Washington, Seattle, WA, USADepartment of Surgery, University of Colorado, Denver Health Medical Center, Denver, CO, USADepartment of Surgery, Emergency Hospital of Bucharest, Bucharest, RomaniaDepartment of Surgery and Critical Care, Universidad del Valle, Fundación Valle del Lili, Cali, ColombiaGeneral Surgery Department, Medical University, University Hospital St George, Plovdiv, BulgariaII Cátedra de Clínica Quirúrgica, Hospital de Clínicas, Facultad de Ciencias Medicas, Universidad Nacional de Asuncion, Asuncion, ParaguayTrauma, Emergency Surgery, and Surgical Critical Care Harvard Medical School, Massachusetts General Hospital, Boston, USADepartment of Surgery, Sheri-Kashmir Institute of Medical Sciences, Srinagar, IndiaDepartment of Trauma Surgery, Royal Perth Hospital, Perth, AustraliaDepartment of General Surgery, Maggiore Hospital, Parma, ItalyDepartment of Emergency Surgery, Maggiore Hospital, Parma, ItalyBackground: Most remote areas have restricted access to healthcare services and are too small and remote 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.http://www.sciencedirect.com/science/article/pii/S1201971220305907Intra-abdominal infectionsAcute appendicitisAcute diverticulitisAcute cholecystitisRemote areasAntimicrobial resistance |
| spellingShingle | Gennaro Perrone Massimo Sartelli Giuffrida Mario Alain Chichom-Mefire Francesco Maria Labricciosa Fikri M. Abu-Zidan Luca Ansaloni Walter L. Biffl Marco Ceresoli Federico Coccolini Raul Coimbra Zaza Demetrashvili Salomone Di Saverio Gustavo Pereira Fraga Vladimir Khokha Andrew W. Kirkpatrick Yoram Kluger Ari Leppaniemi Ronald V. Maier Ernest Eugene Moore Ionut Negoi Carlos A. Ordonez Boris Sakakushev Helmut A. Segovia Lohse George C. Velmahos Imtaz Wani Dieter G. Weber Elena Bonati Fausto Catena Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations International Journal of Infectious Diseases Intra-abdominal infections Acute appendicitis Acute diverticulitis Acute cholecystitis Remote areas Antimicrobial resistance |
| title | Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations |
| title_full | Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations |
| title_fullStr | Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations |
| title_full_unstemmed | Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations |
| title_short | Management of intra-abdominal-infections: 2017 World Society of Emergency Surgery guidelines summary focused on remote areas and low-income nations |
| title_sort | management of intra abdominal infections 2017 world society of emergency surgery guidelines summary focused on remote areas and low income nations |
| topic | Intra-abdominal infections Acute appendicitis Acute diverticulitis Acute cholecystitis Remote areas Antimicrobial resistance |
| url | http://www.sciencedirect.com/science/article/pii/S1201971220305907 |
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