Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy. [email protected]Fausto CatenaLuca AnsaloniDepartment of General Surgery, Ospedali Riuniti, Bergamo, ItalyAri LeppäniemiDepartment of Abdominal Surgery, University Hospital Meilahti, Helsinki, FinlandKorhan TaviloğluDepartment of Surgery, Sisli Florence Nigtingale Hospital, Istanbul, TurkeyHarry van GoorDepartment of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, NetherlandsPierluigi VialeDepartment of Internal Medicine Geriatrics and Nephrologic Diseases, Clinic of Infectious Diseases, St Orsola-Malpighi University Hospital, Bologna, ItalyDaniel LazzareschiDepartment of Surgery, Macerata Hospital, Macerata, ItalyFederico CoccoliniDepartment of General Surgery, Ospedali Riuniti, Bergamo, ItalyDavide CorbellaDepartment of Anestesiology, Ospedali Riuniti, Bergamo, ItalyCarlo De WerraDaniele MarrelliDepartment of Human Pathology and Oncology, Policlinico le Scotte, University Hospital, Siena, ItalyS. ColizzaDepartment of Surgery, Fatebenefratelli Isola Tiberina hospital, Rome, ItalyRodolfo ScibéDepartment of Surgery, Macerata Hospital, Macerata, ItalyHalil AlışDepartment of General Surgery, Bakirkoy Training Research Hospital, Istanbul, TurkeyNurkan TörerDepartment of General Surgery, Baskent University Faculty of Medicine, Adana, TurkeySalvador NavarroDepartment of Surgery, Parc Tauli University Hospital, Barcelona, SpainBoris SakakushevFirst General Surgery Clinic, University Hospital St. George/Chair of Surgical Propedeutics, Medical Faculty, Medical University Plovdiv, Plovdic, BulgariaDamien MassalouDepartment of Emergency Surgery, University Hospital of Nice, University of Nice Sophia-Antipolis, Sophia-Antipolis, FranceGoran AugustinDepartment of Surgery, University Hospital Center, Zagreb, CroatiaMarco CataniEmergency Department, Umberto I Hospital, “La Sapienza” University of Rome, Rome, ItalySaila KauhanenDepartment of Gastroenterological surgery Turku, University Central Hospital, Turku, FinlandPieter PletinckxDepartment of Surgery, AZ Maria Middelares, Ghent, BelgiumJakub KenigSalomone Di SaverioElio JovineGianluca GuercioniM ŠkrovinaDepartment of Surgery Hospital and Oncological Centre Novy Jicin, Novy Jicin, Czech republicRafael Díaz-NietoDepartment of General and Digestive Surgery, Virgen de la Victoria University Hospital, Malaga, SpainAlessandro FerreroDepartment of Surgery, Mauriziano Hospital, Torino, ItalyStefano RauseiDepartment of Surgery (Chief Renzo Dionigi), University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, ItalySamipetteri LaineDepartment GI-surgery, Kuopio University Hospital, Kuopio, FinlandPiotr Major2nd Department of Surgery, Jagiellonian University, Krakow, PolandEliane AngstDepartment of Visceral Surgery and Medicine, Inselspital Bern, University of Bern, Bern, SwitzerlandOlivier PittetDepartment of Visceral Surgery Centre Hospitalier Universitaire Vaudois, CHUV, Lausanne, SwitzerlandI D HerychFerdinando AgrestaNereo VettorettoElia PoiasinaDepartment of General Surgery, Ospedali Riuniti, Bergamo, ItalyJaan TeppFirst General Surgery, North Estonia Regional Hospital, Tallinn, EstoniaGünter WeißIntensive Care Klinikum, Magdeburg gGmbH, Magdeburg, GermanyGiorgio VasquezDepartment of Emergency Surgery Azienda Ospedaliero-Universitaria S.Anna, Ferrara, ItalyNikola VladovDepartment of Hepato-biliary and Pancreatic surgery and Transplantology, Military Medical Hospital, Sofia, BulgariaCristian TranàDepartment of Surgery, Ospedali Riuniti Umberto I-Lancisi-Salesi, Ancona, ItalySamir DelibegovićDepartment of surgery, University Clinic Center Tuzla, Tuzla, Bosnia and HerzegovinaAdam DzikiDepartment of General and Colorectal Surgery, University Hospital, Central Veterans Hospital, Lodz, PolandGiorgio GiraudoSurgical Department Santa Croce e Carle hospital, Cuneo, ItalyJorge PereiraDepartment of Surgery, São Teotónio Hospital, Viseu, PortugalH TzerbinisDepartment of HPB and Liver Transplant Surgery, Royal Free Hospital, London, United KingdomDavid van DellenDepartment of Surgery, Manchester Royal Infirmare, Manchester, UKM Hut'anIInd Surgical department of Medical faculty Comenius University, University Hospital Bratislava, st. Cyril and Methodius Hospital, Bratislava, SlovakiaAndrás VereczkeiDepartment of Surgery, Medical School University of Pécs, Pécs, HungaryAvdyl KrasniqiDepartment of Abdominal Surgery, University Clinical Centre of Kosovo, Prishtina, KosovoCharalampos Seretis2nd Department of Surgery, General Army Hospital of Athens, Athens, GreeceCristian MeșinăMiran RemsSurgical Department, General hospital Jesenice, Jesenice, SloveniaFabio Cesare CampanileDepartment of surgery, Andosilla Hospital, Civita Castellana, ItalyPietro ColettaMirjami Uotila‐NieminenDepartment of Gastrointestinal Surgery, North Carelian Central Hospital, Joensuu, FinlandMario DenteKonstantinos BouliarisSurgical Department General Hospital of Larissa, Larissa, GreeceKonstantinos LasithiotakisDepartment of General Surgery, University Hospital of Heraklion, Heraklion, GreeceVladimir KhokhaDragoljub ŽivanovićDmitry SmirnovAthanasios MarinisFirst Department of Surgery, Tzanion General Hospital, Piraeus, GreeceIonuţ NegoiDepartment of General Surgery, Emergency Hospital of Bucharest, Bucharest, RomaniaLudwig NeyDeparment of Surgery, Downtown Campus, University Hospital of Munich, Munich, GermanyRoberto BiniGeneral and emergency surgery, SG Bosco Hospital, Torino, ItalyMiguel LeónDepartment of General Surgery, Hospital La Paz, Madrid, SpainSergio AloiaCyrille HuchonDepartment of Gynecology and Obstetrics, CHI Poissy-St-Germain-En-Laye, France and University Versailles Saint-Quentin, Versailles, FranceR MoldovanuChirurgie Viscerale, Digestive et Oncologique Hospital Prive, Arras les Bonnettes, Arras, FranceRenato Bessa MeloDepartment of General Surgery, Hospital São João Porto, Porto, PortugalDimitrios GiakoustidisDivision of Transplantation, Department of Surgery, Medical School, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, GreeceOrestis Ioannidis1st Surgical Department, General Regional Hospital "George Papanikolaou", Thessaloniki, GreeceMichele CucchiTadeja PintarDepartment of Abdominal Surgery, umc Ljubljana, Ljubljana, SloveniaZoran KrivokapićFirst Surgical clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade 8, Belgrade, SerbiaJelena PetrovićFirst Surgical clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade 8, Belgrade, Serbia
2012en
ABI
Аннотация
The CIAO Study ("Complicated Intra-Abdominal infection Observational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012).Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.2,152 patients with a mean age of 53.8 years (range: 4-98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified.The overall mortality rate was 7.5% (163/2.152).According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission.Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe.
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