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腹腔感染指南方向

'腹腔感染指南方向'
Complicated Intra-abdominal Infection Guidelines ? CID 2010:50 (15 January) ? 133 I D S A G U I D E L I N E S Diagnosis and Management of Complicated Intra-abdominal Infection in Adults and Children: Guidelines by the Surgical Infection Society and the Infectious Diseases Society of America Joseph S. Solomkin,1John E. Mazuski,2John S. Bradley,3Keith A. Rodvold,7,8Ellie J. C. Goldstein,5Ellen J. Baron,6 Patrick J. O’Neill,9Anthony W. Chow,16E. Patchen Dellinger,10Soumitra R. Eachempati,11Sherwood Gorbach,12 Mary Hilfi ker,4Addison K. May,13Avery B. Nathens,17Robert G. Sawyer,14and John G. Bartlett15 1Department of Surgery, the University of Cincinnati College of Medicine, Cincinnati, Ohio;2Department of Surgery, Washington University School of Medicine, Saint Louis, Missouri; Departments of 3Pediatric Infectious Diseases and4Surgery, Rady Children’s Hospital of San Diego, San Diego, 5R. M. Alden Research Laboratory, David Geffen School of Medicine at UCLA, Los Angeles,6Department of Pathology, Stanford University School of Medicine, Palo Alto, California; Departments of 7Pharmacy Practice and8Medicine, University of Illinois at Chicago, Chicago; 9Department of Surgery, The Trauma Center at Maricopa Medical Center, Phoenix, Arizona;10Department of Surgery, University of Washington, Seattle; 11Department of Surgery, Cornell Medical Center, New York, New York;12Department of Medicine, Tufts University School of Medicine, Boston, Massachusetts; 13Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee;14Department of Surgery, University of Virginia, Charlottesville; 15Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; and16Department of Medicine, University of British Columbia, Vancouver, British Columbia, and 17St Michael’s Hospital, Toronto, Ontario, Canada Evidence-based guidelines for managing patients with intra-abdominal infection were prepared by an Expert Panel of the Surgical Infection Society and the Infectious Diseases Society of America.Theseupdatedguidelines replace those previously published in 2002 and 2003. The guidelines are intended for treating patients who either have these infections or may be at risk for them. New information, based on publications from the period 2003–2008, is incorporated into this guideline document. The panel has also added recommendations for managing intra-abdominal infection in children, particularly where such management differs from that of adults; for appendicitis in patients of all ages; and for necrotizing enterocolitis in neonates. EXECUTIVE SUMMARY The 2009 update of the guidelines contains evidence- basedrecommendationsfortheinitialdiagnosisandsub- sequent managementof adultandpediatricpatientswith complicated and uncomplicated intra-abdominal infec- tion. The multifaceted nature of these infections has led to collaboration and endorsement of these recommen- dations by the followingorganizations:AmericanSociety for Microbiology, Ameri
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腹腔 感染 指南 方向
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