Turkish Journal of Surgery

Turkish Journal of Surgery

ISSN: 2564-6850
e-ISSN: 2564-7032

 

Vildan Avkan-Oğuz1, Nurcan Baykam2, Selman Sökmen3, Rahmet Güner4, Fatih Agalar5, Emine Alp6, Ahmet Doğrul7, Özge Turhan8, Canan Ağalar9, Behice Kurtaran10, İbrahim Ethem Geçim11, Reşat Özaras12, Gürdal Yılmaz13, Ayhan Akbulut14, İftihar Koksal13,15

1Department of Infectious Diseases and Clinical Microbiology, Dokuz Eylül University School of Medicine, İzmir, Turkey
2Department of Infectious Diseases and Clinical Microbiology, Hitit University Çorum Training and Research Hospital, Çorum, Turkey
3Department of General Surgery, Dokuz Eylül University School of Medicine, İzmir, Turkey
4Department of Infectious Diseases and Clinical Microbiology, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey
5Department of General Surgery, Anadolu Medical Center, Kocaeli, Turkey
6Department of Infectious Diseases and Clinical Microbiology, Erciyes University School of Medicine, Kayseri, Turkey
7Departments of General Surgery, Hacettepe University School of Medicine, Ankara, Turkey
8Department of Infectious Diseases and Clinical Microbiology, Akdeniz University School of Medicine, Antalya, Turkey
9Department of Infectious Diseases and Clinical Microbiology, Fatih Sultan Mehmet Training and Research Hospital, İstanbul, Turkey
10Department of Infectious Diseases and Clinical Microbiology, Çukurova University School of Medicine, Adana, Turkey
11Department of General Surgery, Ankara University School of Medicine, Ankara, Turkey
12Department of Infectious Diseases and Clinical Microbiology, İstanbul University Cerrahpasa School of Medicine, İstanbul, Turkey
13Department of Infectious Diseases and Clinical Microbiology, Karadeniz Technical University School of Medicine, Trabzon, Turkey
14Department of Infectious Diseases and Clinical Microbiology, Fırat University School of Medicine, Elazığ, Turkey
15The president of EKMUD

Keywords: Diagnosis, guide, intra-abdominal infection, management, recommendations

Abstract

Guidelines include the recommendations of experts from various specialties within a topic in consideration of data specific to each country. However, to date there has not been a guideline standardizing the nomenclature and offering recommendations for intra-abdominal infections (IAIs) in Turkey. This is mainly due to the paucity of laboratory studies regarding the clinical diagnosis and treatment of IAIs or the sensitivity of microorganisms isolated from patients with IAIs. However, due to the diversification of host characteristics and advancements in technological treatment methods, it has become imperative to ‘speak a common language’. For this purpose May 2015, a group of 15 experts in intra-abdominal infections, under the leadership of the Infectious Diseases and Clinical Microbiology Specialty Society of Turkey (EKMUD) and with representatives from the Turkish Surgical Association, Turkish Society of Colon and Rectal Surgery, Hernia Society, Turkish Society of Hepato-pancreato-biliary Surgery, and the Turkish Society of Hospital Infections and Control, was formed to analyze relevant studies in the literature. Ultimately, the suggestions for adults found in this consensus report were developed using available data from Turkey, referring predominantly to the 2010 guidelines for diagnosing and managing complicated IAIs in adults and children by the Infectious Diseases Society of America (IDSA) and the Surgical Infection Society. The recommendations are presented in two sections, from the initial diagnostic evaluation of patients to the treatment approach for IAI. This Consensus Report was presented at the EKMUD 2016 Congress in Antalya and was subsequently opened for suggestions on the official websites of the Infectious Diseases and Clinical Microbiology Specialty Society of Turkey and Turkish Surgical Association for one month. The manuscript was revised according to the feedback received.

Financial Disclosure

The meetings which took place during the preparation of this report were held at the Ankara EKMUD headquarters, and the participants’ travel and accommodation expenses were paid by EKMUD. Other than this, the committee members received no financial support.

Acknowledgments

Experts from the Infectious Diseases and Clinical Microbiology Specialty Society of Turkey (EKMUD) as well as the Turkish Surgical Association, Turkish Society of Colon and Rectal Surgery, Hernia Society, Turkish Society of Hepato-pancreato-biliary Surgery, and the Turkish Society of Hospital Infections and Control participated in the making of this report, and the English version will be published in the Turkish Journal of Surgery.