The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections

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Authors: Massimo Sartelli ; Alain Chichom-Mefire ; Francesco M Labricciosa ; Timothy Hardcastle ; Fikri M Abu-Zidan ; Abdulrashid K Adesunkanmi ; Luca Ansaloni ; Miklosh Bala ; Zsolt J Balogh ; Marcelo A Beltrán ; Offir Ben-Ishay ; Walter L Biffl ; Arianna Birindelli ; Miguel A Cainzos ; Gianbattista Catalini ; Marco Ceresoli ; Asri Che Jusoh ; Osvaldo Chiara ; Federico Coccolini ; Raul Coimbra ; Francesco Cortese ; Zaza Demetrashvili ; Salomone Di Saverio ; Jose J Diaz ; Valery N Egiev ; Paula Ferrada ; Gustavo P Fraga ; Wagih M Ghnnam ; Jae Gil Lee ; Carlos A Gomes ; Andreas Hecker ; Torsten Herzog ; Jae Il Kim ; Kenji Inaba ; Arda Isik ; Aleksandar Karamarkovic ; Jeffry Kashuk ; Vladimir Khokha ; Andrew W Kirkpatrick ; Yoram Kluger ; Kaoru Koike ; Victor Y Kong ; Ari Leppaniemi ; Gustavo M Machain ; Ronald V Maier ; Sanjay Marwah ; Michael E McFarlane ; Giulia Montori ; Ernest E Moore ; Ionut Negoi ; Iyiade Olaoye ; Abdelkarim H Omari ; Carlos A Ordonez ; Bruno M Pereira ; Gerson A Pereira Júnior ; Guntars Pupelis ; Tarcisio Reis ; Boris Sakakhushev ; Norio Sato ; Helmut A Segovia Lohse ; Vishal G Shelat ; Kjetil Søreide ; Waldemar Uhl ; Jan Ulrych ; Harry Van Goor ; George C Velmahos ; Kuo-Ching Yuan ; Imtiaz Wani ; Dieter G Weber ; Sanoop K Zachariah ; Fausto Catena

MeSH: Abdominal Injuries / drug therapy ; Abdominal Injuries / surgery ; Anti-Bacterial Agents / therapeutic use ; Disease Management ; Guidelines as Topic* ; Humans ; Intraabdominal Infections / drug therapy* ; Intraabdominal Infections / surgery* ; Organ Dysfunction Scores ; Peritonitis / drug therapy ; Sepsis / drug therapy ; Sepsis / surgery ; Societies, Medical / organization & administration ; Societies, Medical / trends* ; Surgeons / organization & administration ; Surgeons / trends

Abstract: 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.