Top

Published in:

Open Access 01-12-2011 | Study protocol

Complicated Intra-Abdominal Infections Observational European study (CIAO Study)

Authors: Massimo Sartelli, Fausto Catena, Luca Ansaloni, Daniel V Lazzareschi, Korhan Taviloglu, Harry Van Goor, Pierluigi Viale, Ari Leppaniemi, Carlo De Werra

Published in: World Journal of Emergency Surgery | Issue 1/2011

Abstract

Complicated intra-abdominal infections are frequently associated with poor prognoses and high morbidity and mortality rates.

Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high.

In order to describe the clinical, microbiological, and management-related profiles of both community-acquired and healthcare-acquired complicated intra-abdominal infections (IAIs), the World Society of Emergency Surgery (WSES), in collaboration with the Surgical Infections Society of Europe (SIS-E) and other prominent European surgical societies, has designed the CIAO study.

The CIAO study is a multicenter, observational study and will be carried out in various surgical departments throughout Europe. The study will include patients undergoing surgery or interventional drainage for complicated IAI.

Menichetti F, Sganga G: Definition and classification of intra-abdominal infections. J Chemother. 2009, 21: 3-4.CrossRefPubMed

Pieracci FM, Barie PS: Management of severe sepsis of abdominal origin. Scand J Surg. 2007, 96: 184-196.PubMed

Marshall JC, Maier RV, Jimenez M, Dellinger EP: Source control in the management of severe sepsis and septic shock: an evidence-based review. Crit Care Med. 2004, 32: 513-526. 10.1097/01.CCM.0000143119.41916.5D.CrossRef

Schoeffel U, Jacobs E, Ruf G, Mierswa F, von Specht BU, Farthmann EH: Intraperitoneal micro-organisms and the severity of peritonitis. Eur J Surg. 1995, 161: 501-508.PubMed

Azzarello G, Lanteri R, Rapisarda C, Santangelo M, Racalbuto A, Minutolo V, Di Cataldo A, Licata A: Ultrasound-guided percutaneous treatment of abdominal collections. Chir Ital. 2009, 61: 337-340.PubMed

Gazelle GS, Mueller PR: Abdominal abscess: Imaging and intervention. Radiol Clin North Am. 1994, 32: 913-932.PubMed

VanSonnenberg E, Ferrucci JT Jr, Mueller PR, Wittenberg J, Simeone JF: Percutaneous drainage of abscesses and fluid collections: Technique, results, and applications. Radiology. 1982, 142: 1-10.CrossRefPubMed

Bouali K, Magotteaux P, Jadot A, Saive C, Lombard R, Weerts J, Dallemagne B, Jehaes C, Delforge M, Fontaine F: Percutaneous catheter drainage of abdominal abscess after abdominal surgery: Results in 121 cases. J Belg Radiol. 1993, 76: 11-14.PubMed

VanSonnenberg E, Wing VW, Casola G, Coons HG, Nakamoto SK, Mueller PR, Ferrucci JT Jr, Halasz NA, Simeone JF: Temporizing effect of percutaneous drainage of complicated abscesses in critically ill patients. Am J Roentgenol. 1984, 142: 821-826.CrossRef

10.

Bufalari A, Giustozzi G, Moggi L: Postoperative intra-abdominal abscesses: Percutaneous versus surgical treatment. Acta Chir Belg. 1996, 96: 197-200.PubMed

11.

VanSonnenberg E, Mueller PR, Ferrucci JT: Percutaneous drainage of 250 abdominal abscesses and fluid collections. I. Results, failures, and complications. Radiology. 1984, 151: 337-341.CrossRefPubMed

12.

Jaffe TA, Nelson RC, DeLong D, Paulson EK: Practice Patterns in Percutaneous Image-guided Intra-abdominal Abscess Drainage: Survey of Academic and Private Practice Centres. Radiology. 2004, 233: 750-756. 10.1148/radiol.2333032063.CrossRefPubMed

13.

Koperna T, Schulz F: Prognosis and treatment of peritonitis. Do we need new scoring systems?. Arch Surg. 1996, 131: 180-186. 10.1001/archsurg.1996.01430140070019.CrossRefPubMed

14.

Koperna T, Schulz F: Relaparotomy in peritonitis: prognosis and treatment of patients with persisting intraabdominal infection. World J Surg. 2000, 24: 32-37. 10.1007/s002689910007.CrossRefPubMed

15.

Farthmann EH, Schoffel U: Principles and limitations of operative management of intraabdominal infections. World J Surg. 1990, 14: 210-217. 10.1007/BF01664875.CrossRefPubMed

16.

Hutchins RR, Gunning MP, Lucas DN, Allen-Mersh TG, Soni NC: Relaparotomy for suspected intraperitoneal sepsis after abdominal surgery. World J Surg. 2004, 28: 137-141. 10.1007/s00268-003-7067-8.CrossRefPubMed

17.

van Ruler O, Lamme B, Gouma DJ, Reitsma JB, Boermeester MA: Variables associated with positive findings at relaparotomy in patients with secondary peritonitis. Crit Care Med. 2007, 35: 468-476. 10.1097/01.CCM.0000253399.03545.2D.CrossRefPubMed

18.

19.

Lamme B, Mahler CW, van Ruler O, Gouma DJ, Reitsma JB, Boermeester MA: Clinical predictors of ongoing infection in secondary peritonitis: systematic review. World J Surg. 2006, 30: 2170-2181. 10.1007/s00268-005-0333-1.CrossRefPubMed

20.

van Ruler O, Mahler CW, Boer KR, Reuland EA, Gooszen HG, Opmeer BC, de Graaf PW, Lamme B, Gerhards MF, Steller EP, van Till JW, de Borgie CJ, Gouma DJ, Reitsma JB, Boermeester MA, Dutch Peritonitis Study Group: Comparison of on-demand vs planned relaparotomy strategy in patients with severe peritonitis: a randomized trial. JAMA. 2007, 298: 865-872. 10.1001/jama.298.8.865.CrossRefPubMed

21.

Cattan P, Yin DD, Sarfati E, De Zelicourt M, Fagnani F: Cost of care for inpatients with community-acquired intra-abdominal infections. Eur J Clin Microbiol Infect Dis. 2002, 21: 787-793. 10.1007/s10096-002-0834-x.CrossRefPubMed

22.

Montravers P, Gauzit R, Muller C, Marmuse JP, Fichele A, Desmonts JM: Emergence of antibiotic-resistant bacteria in cases of peritonitis after intraabdominal surgery affects the efficacy of empirical antimicrobial therapy. Clin Infect Dis. 1996, 23: 486-494. 10.1093/clinids/23.3.486.CrossRefPubMed

23.

Mosdell DM, Morris DM, Voltura A, Pitcher DE, Twiest MW, Milne RL, Miscall BG, Fry DE: Antibiotic treatment for surgical peritonitis. Ann Surg. 1991, 214: 543-549. 10.1097/00000658-199111000-00001.PubMedCentralCrossRefPubMed

24.

Sturkenboom MC, Goettsch WG, Picelli G, in 't Veld B, Yin DD, de Jong RB, Go PM, Herings RM: Inappropriate initial treatment of secondary intra-abdominal infections leads to increased risk of clinical failure and costs. Br J Clin Pharmacol. 2005, 60: 438-443. 10.1111/j.1365-2125.2005.02443.x.PubMedCentralCrossRefPubMed

25.

Coque TM, Baquero F, Canton R: Increasing prevalence of ESBL-producing Enterobacteriaceae in Europe. Euro Surveill. 2008, 13 (47):

26.

Vatopoulos A: High rates of metallo-beta-lactamase-producing Klebsiella pneumoniae in Greece - a review of the current evidence. Euro Surveill. 2008, 13 (4):

Title: Complicated Intra-Abdominal Infections Observational European study (CIAO Study)
Authors: Massimo Sartelli
Fausto Catena
Luca Ansaloni
Daniel V Lazzareschi
Korhan Taviloglu
Harry Van Goor
Pierluigi Viale
Ari Leppaniemi
Carlo De Werra
Publication date: 01-12-2011
Publisher: BioMed Central
Published in: World Journal of Emergency Surgery / Issue 1/2011
Electronic ISSN: 1749-7922
DOI: https://doi.org/10.1186/1749-7922-6-40

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Complicated Intra-Abdominal Infections Observational European study (CIAO Study)

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2011

Multiple giant diverticula of the jejunum causing intestinal obstruction: report of a case and review of the literature

Spontaneous expulsion from rectum: a rare presentation of intestinal lipomas

Bologna Guidelines for Diagnosis and Management of Adhesive Small Bowel Obstruction (ASBO): 2010 Evidence-Based Guidelines of the World Society of Emergency Surgery

Spontaneous adrenal pheochromocytoma rupture complicated by intraperitoneal hemorrhage and shock

Case Report: Successful non-operative management of spontaneous splenic rupture in a patient with babesiosis

Ten-year experiences with Tracheostomy at a University teaching hospital in Northwestern Tanzania: A retrospective review of 214 cases