Zheng Feibo, Yang Yang, Wang Ao, Li Jinan, Cui Yunfeng, Sartelli Massimo
Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin 300100, China.
Department of Surgery, Tianjin Occupational Diseases Precaution and Therapeutic Hospital, Tianjin 300011, China.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2023 Mar;35(3):229-237. doi: 10.3760/cma.j.cn121430-20220927-00867.
Intra-abdominal infections (IAI) is common surgical emergencies and have been reported as major contributors to non-trauma deaths in hospitals worldwide. The principles of IAI management included early diagnosis, adequate source control, appropriate antimicrobial therapy, and prompt physiologic stabilization using critical care resources, combined with an optimal surgical approach. In order to facilitate clinical management, establish a global standard and provide guidance for clinicians, the World Society of Emergency Surgery (WSES), the Global Alliance for Infection in Surgery (GAIS), the Surgical Infection Society-Europe (SIS-E), the World Surgical Infection Society (WSIS), and the American Association for the Surgery of Trauma (AAST) worked together to complete an international multi-society document, which provided the evidence-based clinical pathways. Herein, we made a comprehensive interpretation for the clinical pathways combined with the latest domestic and international research developments, aiming to provide evidence for domestic doctors on the diagnosis and treatment of IAI, and ultimately benefit patients.
腹腔内感染(IAI)是常见的外科急症,据报道是全球医院非创伤性死亡的主要原因。IAI的管理原则包括早期诊断、充分的源头控制、适当的抗菌治疗、利用重症监护资源迅速实现生理稳定,并结合最佳手术方法。为了促进临床管理、建立全球标准并为临床医生提供指导,世界急诊外科学会(WSES)、全球外科感染联盟(GAIS)、欧洲外科感染学会(SIS-E)、世界外科感染学会(WSIS)和美国创伤外科学会(AAST)共同完成了一份国际多学会文件,该文件提供了循证临床路径。在此,我们结合国内外最新研究进展对临床路径进行了全面解读,旨在为国内医生诊断和治疗IAI提供依据,最终使患者受益。