[24]. Medicine (Baltimore). Data is temporarily unavailable. [19]. Moreover, some have still ignored to describe the monitoring and/or auditing criteria. Xie Z, Wang X, Sun L, et al. [1]. [30]. Montravers P, Dupont H, Leone M, et al. [6] A new threshold has been adopted by some institutions or experts[7–8]: Grade C (not recommended): ≥3 domains with a score <30%; Grade B (recommended after revision): ≥3 domains of score ≥30%, but at least 1 domain of score <60%; and Grade A (recommended): 6 domains with a score ≥60%. Therefore, it is necessary to assess the quality of these guidelines/consensuses, which is important for selecting and applying a better guidelines/consensuses in clinical settings. Jolliffe L, Lannin NA, Cadilhac DA, et al. [2]. Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. Sartelli M, Viale P, Catena F, et al. Another matter is that with the trend of evidence-based guidelines development, whether the quality of guidelines/consensus in this field has been improved, and whether the quality of these documents in different regions are various? Some error has occurred while processing your request. The functions of SPSS 23.0 include data management, statistical analysis, chart analysis, and so forth. Montravers P, Dupont H, Leone M, et al. Intra-abdominal infections usually arise after a breach in the intrinsic mucosal defense barrier that allows normal bowel flora to inoculate the abdominal cavity. Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference. [15]. J Microbiol Immunol Infect 2008;41:279–81. [10] Specifically, the consistency is considered sufficient when the ICC ≥0.75, indicating that the differences in the results between the researchers are acceptable. 8600 Rockville Pike One other study also found that the international guidelines may be unsatisfactory in some domains. Applicability of the AGREE II instrument in evaluating the development process and quality of current National Academy of Clinical Biochemistry Guidelines. Lippincott Journals Subscribers, use your username or email along with your password to log in. Bassetti M, Marchetti M, Chakrabarti A, Colizza S, Garnacho-Montero J, Kett DH, Munoz P, Cristini F, Andoniadou A, Viale P, Rocca GD, Roilides E, Sganga G, Walsh TJ, Tascini C, Tumbarello M, Menichetti F, Righi E, Eckmann C, Viscoli C, Shorr AF, Leroy O, Petrikos G, De Rosa FG. The exclusion criteria were single pathogens such as IAIs caused by organ transplant only, guidelines/consensuses with infection prevention, redundant publications of the same edition in different databases and documents published not in English. In observational studies, when the ICC is close to 1, repeated measurements from a particular individual are expected to remain consistent. © The Author(s) 2020. This outcome showed that the overall quality of these guidelines/consensuses was mediocre and considered acceptable in all items. [4] This system is considered to be accurate and rigorous. CONTENTS GENERAL PRINCIPLES FOR DURATION OF THERAPY 2 . J Toxicol Environ Health A 2013;76:747–66. Surg Infect 2002;3:175–233. Linnemann DL, Amerigo DA, Nakonechna A, et al. As a whole, most documents adopted the “GRADE” evidence evaluation system except the earlier and non-Western ones. The search terms were “intraabdominal, intra-abdominal, infections, infection and guideline, guidelines, guidance, consensus, statement, statements, positions or position”. Therefore, continuous improvement is essential. Regarding this item, the overall quality was not satisfactory compared with the other items. This study examined the quality of documents published in English only; guidelines/consensuses in non-English languages (such as Spanish and Turkish) were not included. Introduction and current guidance. 2013 Dec;39(12):2092-106. doi: 10.1007/s00134-013-3109-3. These include peritonitis, intra abdominal abscess, diverticulitis, appendicitis, food poisoning and pelvic inflammatory disease. The purpose of this study is to identify risk factors for clinical failure in patients with IAI, regardless of surgical intervention. Management of Intra-abdominal Infection from the Best Practices in General Surgery (BPIGS) guidelines Nurses are part of the Antimicrobial Stewardship Team Active engagement of nurses in antimicrobial stewardship activities is long-overdue. [1] Therefore, to improve the diagnosis and treatment of IAIs, some professional organizations have developed guidelines/consensuses as part of their responsibilities. NEED PICTURE OF ARTICLE. Complicated Intra-abdominal Infection Guidelines • CID 2010:50 (15 January) • 135. antimicrobial therapy; intraabdominal infection; nutrition; source control; treatment failure. Scientific evidence underlying the ACC/AHA clinical practice guidelines. Pharmacy & Therapeutics Committee and the Division of General Surgery of The Ottawa Hospital. Remarkably, Indonesia 2018 applied the “AGREE” system as a tool to evaluate the other guidelines to build a guidance document for their nation based on the advantages of other documents, but offered No details. Dillner J, Elfström KM, Blomqvist J, Eklund C, Lagheden C, Nordqvist-Kleppe S, Hellström C, Olofsson J, Andersson E, Jernbom Falk A, Bergström S, Hultin E, Pin E, Månberg A, Nilsson P, Hedhammar M, Hober S, Mattsson J, Mühr LSA, Conneryd Lundgren K. Sci Rep. 2021 Mar 4;11(1):5160. doi: 10.1038/s41598-021-84356-w. Lin P, Chen W, Huang H, Lin Y, Cai M, Lin D, Cai H, Su Z, Zhuang X, Yu X. Sci Rep. 2021 Jan 13;11(1):1233. doi: 10.1038/s41598-021-81010-3. Don-Wauchope AC, Sievenpiper JL, Hill SA, et al. Epub 2021 Jan 9. Your message has been successfully sent to your colleague. gNorthwestern SiChuan Regional Medical Center, MianYang, China. Furthermore, to identify whether the intraclass correlation coefficient is significant, the ICC must been tested by an analysis of variance; the standards above are available only when P < .05. Evidence-based recommendations have been made regarding risk assessment in individual patients; source control; the timing, selection, and duration of antimicrobial therapy; and suggested approaches to patients who fail initial therapy. Canadian Practice Guidelines For Surgical Intra Abdominal Infections. Clipboard, Search History, and several other advanced features are temporarily unavailable. Moreover, intraabdominal infection is a disease that requires physicians and surgeons to work together, as surgical debridement and medical treatment are often both necessary. J Allergy Clin Immunol 2017;139:AB153. Additional recommendations … 2013 WSES guidelines for management of intra-abdominal infections. Table 2. It can be caused not only by gastrointestinal fistula, abdominal multiple trauma, biliary tract diseases, and appendicular diseases but also by abdominal surgery and operation. initial diagnosis and subsequent management of adult and pediatric patients with complicated Critical appraisal of clinical practice guidelines for pancreatic cancer based on the global disease burden. CLICK HERE TO START IAI-GUIDELINES. It is the second most common focus of septic shock. TOH GUIDELINES FOR. Evidence-based guidelines for managing patients with intra-abdominal infection were prepared by an Expert Panel of the Surgical Infection Society and the Infectious Diseases Society of America. The main problem was that most of the editors neglected to investigate the effect of potential resource implications that could improve the implementation of the recommendations. Wang, Yu MDa,g; Guo, Jun MDb,g; Xiong, Tingting MDc; Wang, Fangfang BDd; Kou, Guoxian BDe,g; Ning, Hong BDf,g,∗, bDepartment of Pediatrics, MianYang Center Hospital, MianYang, cDepartment of Pharmacy, sichuan provincial hospital for women and children, Chengdu, dDepartment of Pharmacy, Yibin hospital for women and children, Yibin, fDepartment of Pharmacy, MianYang Center Hospital. It uses a detailed framework to assess guideline quality but also provides a methodological strategy for guideline development and content. [28]. Surg Infect (Larchmt). The quality assessment of intraabdominal infection guidelines/consensuses in 2 decades - which are better and any changes? Medicine. A few guidelines/consensuses were better in their scientific and methodological characteristics than the others. [Interpretation of domestic and foreign guidelines on diagnosis and treatment of abdominal infection]. Seymour CW, Liu VX, Iwashyna TJ, et al. 2017 Jan;18(1):1-76. doi: 10.1089/sur.2016.261. It is considered the third most commonly identified cause of sepsis and the second most common cause of death in the intensive care unit. [27]. Thus, the guidelines/consensuses must provide the inclusion or exclusion criteria, and search or assessment process descriptions. Abbreviations: IAI = intraabdominal infection, ICCs = intraclass correlation coefficients, AGREE II = The Appraisal of Guidelines for Research & Evaluation Instrument tool II. Despite defining risk factors for failure in patients who received surgical intervention, limited data exists for patients outside this criterion. Bias-corrected estimator for intraclass correlation coefficient in the balanced one-way random effects model. And they also distinguished between the recommendations for surgical treatment and non-surgical treatment. Zhonghua Wei Chang Wai Ke Za Zhi. Some guidelines/consensuses have lower scores for some items, indicating the necessity of improving these fields. Update and recommendations. The Appraisal of Guidelines for Research & Evaluation Instrument tool was adopted to assess the quality of IAI guidelines/consensuses by 3 researchers independently. The scope of these documents were clearly defined as complex abdominal infection. Kwah LK, Green J, Butler J, et al. World J Emerg Surg 2013;8:1–29. Chow AW, Evans GA, Nathens AB, et al. Reproducibility and repeatability of measuring the electrical impedance of the pregnant human cervix-the effect of probe size and applied pressure. Int J Antimicrob Agents 2007;129–33. [11] A nonparametric test (Mann–Whitney U test) was used for the analysis of the differences in the scores between guidelines/consensuses issued before and after May 2009 for international and regional documents. Chinese Society of Surgery of Chinese Medical Association, et al. For more information, please refer to our Privacy Policy. The ICCs of all the guidelines/consensuses among the researchers were ≥0.75 (P < .05), illustrating that the consistencies of the different research results were satisfactory and acceptable (Table 2). Following authors have made substantial contributions to the manuscript as under: Fangfang Wang: The quality of the guidelines/consensuses assessment, Guoxian Kou: The consultant of infection disease; The rate of progress supervision, Hong Ning: Research design; The consultant of Pharmacy; The rate of progress supervision, Jun Guo: The quality of the guidelines/consensuses assessment; Data statistics, Tingting Xiong: Research design; Literature search and collection; Manuscript creation, Yu Wang: Research design; Literature search and collection; The quality of the guidelines/consensuses assessment; Data statistics; Manuscript creation, AGREE II; guidelines/consensuses; Intraabdominal infection; quality assessment. This is obviously not beneficial to enhancing quality improvement and clinical application. The content ranged from 3–76 pages, 7–690 references, and 7–55 authors participating in the editing. These include peritonitis, intra abdominal abscess, diverticulitis, appendicitis, food poisoning and pelvic inflammatory disease. In the process of formulating the recommendations, most of the guidelines/consensuses described methods for the formation of recommendations. Guidelines for antimicrobial therapy of intra-abdominal infections in adults. Please enable scripts and reload this page. The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. The total score of each domain was calculated as follows: (the actual score - the lowest possible score)/(the highest possible score - the lowest possible score) ×100%. All rights reserved. Fourteen IAI guidelines/consensuses published in English were obtained following a literature search. [27] The reliability of the recommendations based on evidence could be the most important factor for whether the guidelines/consensuses are accepted and trusted widely. Surg Infect 2002;3:161–73. Given the advantage of the AGREE II tool, it has been adopted by the World Health Organization for the assessment of guidelines and is widely used in other fields as well.[5]. Intraclass correlation coefficients (ICCs) among the researchers were retrieved to reflect reliability. Mazuski JE, Sawyer RG, Nathens AB, et al. Second, the recommendations should be explicitly supported by the current clinical evidence. BMJ Open 2018;8:e018791. There were no significant differences in the scores between the guidelines/consensuses issued before and after May 2009 or between the international and regional guidelines/consensuses (Table 4). Moreover, the guideline assessment tools should be applied in guideline/consensus development widely to improve the methodological quality. Welcome to the Surgical Infection Society Intra-Abdominal Infection Guidelines (SIS-IAI) The full version of the SIS-IAI Guidelines are available through the following link. http://creativecommons.org/licenses/by/4.0. Intra-abdominal infections. A research agenda on the management of intra-abdominal candidiasis: results from a consensus of multinational experts. Intraabdominal infection (IAI) is a common and important disease worldwide. Consensus statement on antimicrobial therapy of intra-abdominal infections in Asia. Authors declared no conflict of interest. [23]. Filling the Gap Until Full Vaccine Deployment in the War on Coronavirus Disease-19. Department of Surgery, Vanderbilt University, Nashville, Tennessee. FOIA [25]. 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. These updated guidelines replace those previously published in 2002 and 2003. Please try again soon. to maintaining your privacy and will not share your personal information without Misuse of the guidelines by doctors could be avoided to some extent. Diagnosis and Management of Intraabdominal Infection: Guidelines by the Chinese Society of Surgical Infection and Intensive Care and the Chinese College of Gastrointestinal Fistula Surgeons Clin Infect Dis. World J Emerg Surg 2017;12:1–31. Unable to load your collection due to an error, Unable to load your delegates due to an error. In this domain, the majority of guidelines/consensuses performed well, especially in the guidelines issued by the Infectious Diseases Society and the Surgical Infection Society of America. Then, they independently responded to 23 questions of 6 domains by a scale ranging from 1 for “strongly disagree” to 7 for “strongly agree”. Sartelli M, Chichom-Mefire A, Labricciosa FM, et al. [5]. Hsueh PR, Hawkey PM. Clin Infect Dis 2010;50:133-164. [14]. For patients with community-acquired intra-abdominal infections (CA-IAIs), agents with a narrower spectrum of activity are preferred. [4]. Early clinical evaluation is essential for diagnosing IAIs. Medicine99(50):e23643, December 11, 2020. This outcome indicates that the AGREE tool was not used well when the documents were developed. Please try after some time. Li CC, Wang YQ, Li YP, et al. Sartelli M, Catena F, Abu-Zidan FM, et al. [17]. On the other hand, there were more defects mainly concerning the lack of some essential elements in the guidelines/consensuses of Asia 2007 and China–Taiwan 2008. IDSA 2003 listed the explicit target audience. Intra-abdominal infection ( IAI, also spelled intraabdominal) is a group of infections that occur within the abdominal cavity. [Expert consensus on multidisciplinary management of intra-abdominal infections]. Mazuski JE, Tessier JM, May AK, Sawyer RG, Nadler EP, Rosengart MR, Chang PK, O'Neill PJ, Mollen KP, Huston JM, Diaz JJ Jr, Prince JM. The infections can also occur due to inflammatory bowel disease, ruptured appendix, and intestinal infection… This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The data on the number of references and editors, publication organizations, country or area, time of publication and the methodology of the clinical evidence evaluation for the guidelines/consensuses were extracted in Table 1. Variables Predicting and Affecting Post-operative Intra Abdominal Infections (IAI) Post-operative IAI contribute to increased expenses, length of stay, mortality and healthcare associated infections, along with worsening of pre-existing multi-organ dysfunctions documented secondary to infections. Methods. Similarly, they also announced the health benefits, side effects, and risks of the recommendations. The guidelines are intended for treating patients who either have these infections or may be at risk for them. Epub 2013 Oct 9. Systematic review of clinical practice guidelines to identify recommendations for rehabilitation after stroke and other acquired brain injuries. [3]. Surg Infect 2017;18:1–76. 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