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Inicio Cirugía Española (English Edition) Recommendations in the empiric anti-infective agents of intra-abdominal infectio...
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Vol. 87. Issue 2.
Pages 63-81 (February 2010)
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Vol. 87. Issue 2.
Pages 63-81 (February 2010)
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Recommendations in the empiric anti-infective agents of intra-abdominal infection
Recomendaciones en el tratamiento antibiótico empírico de la infección intraabdominal
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Xavier Guiraoa,
Corresponding author
xguirao@teleline.es

Author for correspondence.
, Javier Ariasa, Josep Ma Badíaa, José A. García-Rodríguezb, José Mensab, Francisco Álvarez-Lermac, Marcio Borgesc, José Barberánd, Emilio Masedae, Miguel Salavertf,1, Pedro Llinaresg,1, Miguel Gobernadob, César García Reyb,1
a Sección de Infección Quirúrgica de la AEC
b Sociedad Española de Quimioterapia
c Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias
d Sociedad Española de Medicina Interna
e Grupo de Trabajo de Infecciones Perioperatorias Sociedad Española de Anestesia, Reanimación y Terapia del Dolor (GTIPO-SEDAR)
f Consultor de Enfermedades Infecciosas, Hospital de la Fe, Valencia, Spain
g Servicio de Enfermedades Infecciosas, Hospital Juan Canalejo, La Coruña, Spain
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Abstract

A significant number of patients with abdominal infection develop advanced stages of infection and mortality is still above 20%. Failure is multifactorial and is associated with an increase of bacterial resitance, inappropriate empirical treatment, a higher comorbidity of patients and poor source control of infection. These guidelines discuss each of these problems and propose measures to avoid the failure based on the best current scientific evidence.

Keywords:
Intra-abdominal infection
Guidelines
Anti-infective agents
Resumen

Un número importante de pacientes con infección intraabdominal desarrollan estados avanzados de la infección y la mortalidad es todavía superior al 20%. El fracaso es multifactorial y se relaciona con el incremento de resistencias bacterianas, el tratamiento empírico inapropiado, la mayor comorbilidad de los pacientes y el mal control del foco de infección. Estas guías analizan cada uno de estos problemas y proponen medidas para evitar el fracaso, basadas en la mayor evidencia científica actual.

Palabras clave:
Infección intraabdominal
Guías
Antibióticos
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According to the authors and publishers, this article was published in its complete form in: Rev Esp Quimioter. 2009;22(3):151–172.

Copyright © 2010. Asociación Española de Cirujanos
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