Complicated intra-abdominal infections in a worldwide context: an observational prospective study (CIAOW Study)

نویسندگان

  • Massimo Sartelli
  • Fausto Catena
  • Luca Ansaloni
  • Ernest Moore
  • Mark Malangoni
  • George Velmahos
  • Raul Coimbra
  • Kaoru Koike
  • Ari Leppaniemi
  • Walter Biffl
  • Zsolt Balogh
  • Cino Bendinelli
  • Sanjay Gupta
  • Yoram Kluger
  • Ferdinando Agresta
  • Salomone Di Saverio
  • Gregorio Tugnoli
  • Elio Jovine
  • Carlos Ordonez
  • Carlos Augusto Gomes
  • Gerson Alves Pereira Junior
  • Kuo-Ching Yuan
  • Miklosh Bala
  • Miroslav P Peev
  • Yunfeng Cui
  • Sanjay Marwah
  • Sanoop Zachariah
  • Boris Sakakushev
  • Victor Kong
  • Adamu Ahmed
  • Ashraf Abbas
  • Ricardo Alessandro Teixeira Gonsaga
  • Gianluca Guercioni
  • Nereo Vettoretto
  • Elia Poiasina
  • Offir Ben-Ishay
  • Rafael Díaz-Nieto
  • Damien Massalou
  • Matej Skrovina
  • Ihor Gerych
  • Goran Augustin
  • Jakub Kenig
  • Vladimir Khokha
  • Cristian Tranà
  • Kenneth Yuh Yen Kok
  • Alain Chichom Mefire
  • Jae Gil Lee
  • Suk-Kyung Hong
  • Helmut Alfredo Segovia Lohse
  • Wagih Ghnnam
  • Alfredo Verni
  • Varut Lohsiriwat
  • Boonying Siribumrungwong
  • Alberto Tavares
  • Gianluca Baiocchi
  • Koray Das
  • Julien Jarry
  • Maurice Zida
  • Norio Sato
  • Kiyoshi Murata
  • Tomohisa Shoko
  • Takayuki Irahara
  • Ahmed O Hamedelneel
  • Noel Naidoo
  • Abdul Rashid Kayode Adesunkanmi
  • Yoshiro Kobe
  • AK Attri
  • Rajeev Sharma
  • Federico Coccolini
  • Tamer El Zalabany
  • Khalid Al Khalifa
  • Juan Sanjuan
  • Rita Barnabé
  • Wataru Ishii
چکیده

Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The World Society of Emergency Surgery (WSES) has designed the CIAOW study in order to describe the clinical, microbiological, and management-related profiles of both community- and healthcare-acquired complicated intra-abdominal infections in a worldwide context. The CIAOW study (Complicated Intra-Abdominal infection Observational Worldwide Study) is a multicenter observational study currently underway in 57 medical institutions worldwide. The study includes patients undergoing surgery or interventional drainage to address complicated intra-abdominal infections. This preliminary report includes all data from almost the first two months of the six-month study period. Patients who met inclusion criteria with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study. 702 patients with a mean age of 49.2 years (range 18-98) were enrolled in the study. 272 patients (38.7%) were women and 430 (62.3%) were men. Among these patients, 615 (87.6%) were affected by community-acquired IAIs while the remaining 87 (12.4%) suffered from healthcare-associated infections. Generalized peritonitis was observed in 304 patients (43.3%), whereas localized peritonitis or abscesses was registered in 398 (57.7%) patients.The overall mortality rate was 10.1% (71/702). The final results of the CIAOW Study will be published following the conclusion of the study period in March 2013.

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عنوان ژورنال:

دوره 8  شماره 

صفحات  -

تاریخ انتشار 2013