World Journal of Emergency Surgery

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WSES consensus conference: Guidelines for first-line management of intra-abdominal infections

Massimo Sartelli1*, Pierluigi Viale2, Kaoru Koike3, Federico Pea4, Fabio Tumietto2, Harry van Goor5, Gianluca Guercioni6, Angelo Nespoli7, Cristian Tranà8, Fausto Catena9, Luca Ansaloni10, Ari Leppaniemi11, Walter Biffl12, Frederick A Moore13, Renato Poggetti14, Antonio D Pinna9 and Ernest E Moore12

Author Affiliations

1 Department of Surgery, Macerata Hospital, Italy

2 Clinic of Infectious Diseases, Department of Internal Medicine Geriatrics and Nephrologic Diseases, St Orsola-Malpighi University Hospital, Bologna, Italy

3 Department of Primary Care & Emergency Medicine, Kyoto University Graduate School of Medicine, Japan

4 Institute of Clinical Pharmacology and Toxicology, Azienda Ospedaliera Universitaria Santa Maria Misericordia, Department of Experimental and Clinical Pathology and Medicine, University of Udine, Italy

5 Department of Surgery, Radboud University Nijmegen Medical Centre, The Netherlands

6 Department of Surgery, "Mazzoni" Hospital, Ascoli Piceno Italy

7 Department of Surgical Sciences San Gerardo Hospital, Monza, University of Milano-Bicocca, Italy

8 Department of Surgery, University of Ancona, Italy

9 Department of General and Transplant surgery, St Orsola-Malpighi University Hospital, Bologna, Italy

10 Department of Surgery, "Ospedali Riuniti" Hospital, Bergamo, Italy

11 Department of Surgery, Helsinki University Central Hospital, Finland

12 Department of Surgery, Denver Health Medical Center, USA

13 Department of Surgery, University of Texas Health Science Center, Houston, USA

14 Emergency Surgery Department, University of São Paulo, Brazil

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World Journal of Emergency Surgery 2011, 6:2 doi:10.1186/1749-7922-6-2

Published: 13 January 2011

Abstract

Intra-abdominal infections are still associated with high rate of morbidity and mortality.

A multidisciplinary approach to the management of patients with intra-abdominal infections may be an important factor in the quality of care. The presence of a team of health professionals from various disciplines, working in concert, may improve efficiency, outcome, and the cost of care.

A World Society of Emergency Surgery (WSES) Consensus Conference was held in Bologna on July 2010, during the 1st congress of the WSES, involving surgeons, infectious disease specialists, pharmacologists, radiologists and intensivists with the goal of defining recommendations for the early management of intra-abdominal infections.

This document represents the executive summary of the final guidelines approved by the consensus conference.