2024 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Complicated Intra-abdominal Infections: Risk Assessment, Diagnostic Imaging, and Microbiological Evaluation in Adults, Children, and Pregnant People - PubMed

doi: 10.1093/cid/ciae346.

Online ahead of print.

Robert A Bonomo¹, Anthony W Chow², Morven S Edwards³, Romney Humphries⁴, Pranita D Tamma⁵, Fredrick M Abrahamian⁶, Mary Bessesen⁷, E Patchen Dellinger⁸, Ellie Goldstein⁹, Mary K Hayden¹⁰, Keith Kaye¹¹, Brian A Potoski¹², Jesús Rodríguez Baño¹³, Robert Sawyer¹⁴, Marion Skalweit¹⁵, David R Snydman¹⁶, Sarah Pahlke¹⁷, Katelyn Donnelly¹⁷, Jennifer Loveless¹⁷

Affiliations

¹ Medical Service and Center for Antimicrobial Resistance and Epidemiology, Louis Stokes Cleveland Veterans Affairs Medical Center, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA, and Departments of Medicine, Pharmacology, Molecular Biology, and Microbiology, Case Western Reserve University, Cleveland, Ohio, USA.
² Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
³ Division of Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
⁴ Division of Laboratory Medicine, Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
⁵ Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
⁶ Department of Emergency Medicine, Olive View-UCLA Medical Center, Sylmar, California, USA, and David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
⁷ Veterans Affairs Eastern Colorado Health Care, Aurora, Colorado, and Division of Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, USA.
⁸ Department of Surgery, University of Washington, Seattle, Washington, USA.
⁹ RM Alden Research Laboratory, Santa Monica, California, USA.
¹⁰ Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA.
¹¹ Division of Allergy, Immunology and Infectious Diseases, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
¹² Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania, USA.
¹³ Division of Infectious Diseases and Microbiology, Department of Medicine, Hospital Universitario Virgen Macarena, University of Seville, Biomedicines Institute of Seville-Consejo Superior de Investigaciones Científicas, Seville, Spain.
¹⁴ Department of Surgery, Western Michigan University School of Medicine: Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.
¹⁵ Department of Medicine and Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
¹⁶ Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA.
¹⁷ Infectious Diseases Society of America, Arlington, Virginia, USA.

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Robert A Bonomo et al.

Clin Infect Dis.

2024.

doi: 10.1093/cid/ciae346.

Online ahead of print.

Authors

Affiliations

¹ Medical Service and Center for Antimicrobial Resistance and Epidemiology, Louis Stokes Cleveland Veterans Affairs Medical Center, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA, and Departments of Medicine, Pharmacology, Molecular Biology, and Microbiology, Case Western Reserve University, Cleveland, Ohio, USA.
² Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
³ Division of Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
⁴ Division of Laboratory Medicine, Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
⁵ Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
⁶ Department of Emergency Medicine, Olive View-UCLA Medical Center, Sylmar, California, USA, and David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
⁷ Veterans Affairs Eastern Colorado Health Care, Aurora, Colorado, and Division of Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, USA.
⁸ Department of Surgery, University of Washington, Seattle, Washington, USA.
⁹ RM Alden Research Laboratory, Santa Monica, California, USA.
¹⁰ Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA.
¹¹ Division of Allergy, Immunology and Infectious Diseases, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
¹² Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania, USA.
¹³ Division of Infectious Diseases and Microbiology, Department of Medicine, Hospital Universitario Virgen Macarena, University of Seville, Biomedicines Institute of Seville-Consejo Superior de Investigaciones Científicas, Seville, Spain.
¹⁴ Department of Surgery, Western Michigan University School of Medicine: Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.
¹⁵ Department of Medicine and Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
¹⁶ Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA.
¹⁷ Infectious Diseases Society of America, Arlington, Virginia, USA.

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Abstract

As the first part of an update to the clinical practice guideline on the diagnosis and management of complicated intra-abdominal infections in adults, children, and pregnant people, developed by the Infectious Diseases Society of America, the panel presents twenty-one updated recommendations. These recommendations span risk assessment, diagnostic imaging, and microbiological evaluation. The panel’s recommendations are based upon evidence derived from systematic literature reviews and adhere to a standardized methodology for rating the certainty of evidence and strength of recommendation according to the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) approach.

Keywords:

acute appendicitis; acute cholangitis; acute cholecystitis; acute diverticulitis; acute intra-abdominal abscess; guideline; intra-abdominal infection.