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Epidemiology of intra-abdominal infection and sepsis in critically ill patients: 'AbSeS', a multinational observational cohort study and ESICM Trials Group Project
- Source :
- Abdominal Sepsis Study (AbSeS) group on behalf of the Trials Group of the European Society of Intensive Care Medicine & Silversides, J 2019, ' Epidemiology of intra-abdominal infection and sepsis in critically ill patients: "AbSeS", a multinational observational cohort study and ESICM Trials Group Project ', Intensive Care Medicine, vol. 45, no. 12, pp. 1703-1717 . https://doi.org/10.1007/s00134-019-05819-3, Intensive Care Medicine, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Intensive Care Medicine, 2019, 45 (12), pp.1703-1717. ⟨10.1007/s00134-019-05819-3⟩, Intensive care medicine, Vol. 45, no.12, p. 1703-1717 (2019), Intensive Care Medicine, 45(12), 1703. Springer Verlag, Intensive care medicine, INTENSIVE CARE MEDICINE, Scientia, Intensive Care Medicine, Springer Verlag, 2019, 45 (12), pp.1703-1717. ⟨10.1007/s00134-019-05819-3⟩, r-FISABIO. Repositorio Institucional de Producción Científica, instname, Intensive Care Medicine, 45(12), 1703-1717. Springer-Verlag, Volume 45, Issue 12, Blot, S, Antonelli, M, Arvaniti, K, Blot, K, Creagh-Brown, B, de Lange, D, De Waele, J, Deschepper, M, Dikmen, Y, Dimopoulos, G, Eckmann, C, Francois, G, Girardis, M, Koulenti, D, Labeau, S, Lipman, J, Lipovestky, F, Maseda, E, Montravers, P, Mikstacki, A, Paiva, J A, Pereyra, C, Rello, J, Timsit, J F, Vogelaers, D & the Abdominal Sepsis Study (AbSeS) group on behalf of the Trials Group of the European Society of Intensive Care Medicine 2019, ' Epidemiology of intra-abdominal infection and sepsis in critically ill patients : “AbSeS”, a multinational observational cohort study and ESICM Trials Group Project ', Intensive Care Medicine, vol. 45, no. 12, pp. 1703-1717 . https://doi.org/10.1007/s00134-019-05819-3
- Publication Year :
- 2019
-
Abstract
- Pardo-Oviedo, Juan Mauricio/0000-0003-0084-3449; Lopez-Delgado, Juan Carlos/0000-0003-3324-1129; Corradi, Francesco/0000-0002-5588-2608; De Backer, Daniel/0000-0001-9841-5762; POTA, VINCENZO/0000-0001-9999-3388; Tomescu, Dana/0000-0001-9673-5754; Sabetian, Golnar/0000-0001-8764-2150; Girardis, Massimo/0000-0002-2453-0829; Brazzi, Luca/0000-0001-7059-0622; Leone, Marc/0000-0002-3097-758X; Zabolotskikh, Igor Borisovich/0000-0002-3623-2546; De Lange, Dylan/0000-0002-0191-7270; ALMEKHLAFI, GHALEB A./0000-0002-0323-7025; Elke, Gunnar/0000-0002-4948-1605; Grigoras, Ioana/0000-0001-9412-9574; Czuczwar, Miroslaw/0000-0002-9025-6717; Nora, David/0000-0002-1133-7368; Masjedi, Mansoor/0000-0001-6175-9289; Gunst, Jan/0000-0003-2470-6393; Vidal-Cortes, Pablo/0000-0003-0225-9975; Szakmany, Tamas/0000-0003-3632-8844; Dimopoulos, George/0000-0002-3784-3103; Rello, Jordi/0000-0003-0676-6210; U nal, Necmettin/0000-0002-9440-7893; Tiberio, Iolanda FLC/0000-0002-5662-7895; Cortegiani, Andrea/0000-0003-1416-9993; Morton, Ben/0000-0002-6164-2854; Labeau, Sonia/0000-0003-3863-612X; Velickovic, Dejan/0000-0002-7312-2880; Paul, John/0000-0002-9307-3465; Pereira, Rui/0000-0002-3010-8384; Silversides, Jon/0000-0002-9562-5462; Paiva, Jose-Artur/0000-0003-4323-0220; Smuszkiewicz, Piotr/0000-0003-3067-8229; Paul, Cherish/0000-0001-6133-0036; Santos, Lurdes/0000-0002-0622-6823; PANTAZOPOULOS, IOANNIS/0000-0002-8846-519X; Ostermann, Marlies/0000-0001-9500-9080; Blot, Stijn/0000-0003-2145-0345; Naylor, Amanda/0000-0002-6431-0230; Shyamsundar, Murali/0000-0003-3797-8080; Aldecoa, Cesar/0000-0001-8789-5959; Summers, Charlotte/0000-0002-7269-2873; biskup, ewelina/0000-0002-9871-927X; Cornet, Alexander/0000-0002-9917-5251; Trenado Alvarez, Jose/0000-0002-2930-0766; Volta, Carlo/0000-0003-3533-6121; Gritsan, Alexey/0000-0002-0500-2887; Urkmez, Seval/0000-0002-3412-4226 WOS:000493268200001 PubMed ID: 31664501 PurposeTo describe the epidemiology of intra-abdominal infection in an international cohort of ICU patients according to a new system that classifies cases according to setting of infection acquisition (community-acquired, early onset hospital-acquired, and late-onset hospital-acquired), anatomical disruption (absent or present with localized or diffuse peritonitis), and severity of disease expression (infection, sepsis, and septic shock).MethodsWe performed a multicenter (n=309), observational, epidemiological study including adult ICU patients diagnosed with intra-abdominal infection. Risk factors for mortality were assessed by logistic regression analysis.ResultsThe cohort included 2621 patients. Setting of infection acquisition was community-acquired in 31.6%, early onset hospital-acquired in 25%, and late-onset hospital-acquired in 43.4% of patients. Overall prevalence of antimicrobial resistance was 26.3% and difficult-to-treat resistant Gram-negative bacteria 4.3%, with great variation according to geographic region. No difference in prevalence of antimicrobial resistance was observed according to setting of infection acquisition. Overall mortality was 29.1%. Independent risk factors for mortality included late-onset hospital-acquired infection, diffuse peritonitis, sepsis, septic shock, older age, malnutrition, liver failure, congestive heart failure, antimicrobial resistance (either methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, extended-spectrum beta-lactamase-producing Gram-negative bacteria, or carbapenem-resistant Gram-negative bacteria) and source control failure evidenced by either the need for surgical revision or persistent inflammation.ConclusionThis multinational, heterogeneous cohort of ICU patients with intra-abdominal infection revealed that setting of infection acquisition, anatomical disruption, and severity of disease expression are disease-specific phenotypic characteristics associated with outcome, irrespective of the type of infection. Antimicrobial resistance is equally common in community-acquired as in hospital-acquired infection. Pfizer investigator-initiated research grant AbSeS is a Trials Group Study of the European Society of Intensive Care Medicine. The study was supported by a Pfizer investigator-initiated research grant.
- Subjects :
- Infection risk
Male
BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences
Antibiotic resistance
Tracte gastrointestinal - Malalties
Definitions
Critical Care and Intensive Care Medicine
THERAPY
DEFINITIONS
Infections::Intraabdominal Infections [DISEASES]
0302 clinical medicine
Intensive care
Intra-abdominal infection
Mortality
Multidrug resistance
Peritonitis
Sepsis
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Observational study
Septic shock
ComputingMilieux_MISCELLANEOUS
Critical Illness/epidemiology
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti
Intraabdominal Infections/epidemiology
Abdominal infection
Multicenter study
3. Good health
Management
Clinical trial
Cohort
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
Cohort analysis
Community acquired infection
Cohort study
Human
medicine.medical_specialty
Carbapenem resistance
Critical Illness
Peritoneal dialysis
Vancomycin resistant enterococcus
Major clinical study
Article
03 medical and health sciences
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Settore MED/41 - ANESTESIOLOGIA
Humans
Critical care medicine
Hospital infection
Aged
Science & Technology
Liver failure
Antibiotic therapy
medicine.disease
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
Epidemiologic Studies
030228 respiratory system
Intensive Care Unit
Sepsis (Diptera)
Septic Shock
Risk factor
Human medicine
General & internal medicine
Congestive heart failure
Original
Cohort Studies
Risk Factors
Cause of Death
Epidemiology
Prevalence
Medicine and Health Sciences
Abdominal abscess
Sepsis/epidemiology
Middle aged
Antifungal therapy
2. Zero hunger
Peritoniti
Antibiotic agent
Biliary tract infection
Middle Aged
infecciones bacterianas y micosis::infección::infecciones intraabdominales [ENFERMEDADES]
PREVALENCE
Infections::Sepsis [DISEASES]
técnicas de investigación::métodos epidemiológicos::características de los estudios epidemiológicos::estudios epidemiológicos::estudios de cohortes [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS]
Methicillin resistant staphylococcus aureus
Raonament basat en casos
Female
Critically ill patient
Life Sciences & Biomedicine
Antifungal agent
Adult
Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics::Epidemiologic Studies::Cohort Studies [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT]
Predictive value
infecciones bacterianas y micosis::infección::sepsis [ENFERMEDADES]
NO
Critical Care Medicine
Internal medicine
General & Internal Medicine
medicine
MANAGEMENT
Journal Article
[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
Septicèmia
business.industry
Pancreas disease
Malnutrition
030208 emergency & critical care medicine
Typhlitis
Toxic megacolon
Intraabdominal Infections
Therapy
Late onset disorder
business
Subjects
Details
- Language :
- English
- ISSN :
- 14321238 and 03424642
- Database :
- OpenAIRE
- Journal :
- Abdominal Sepsis Study (AbSeS) group on behalf of the Trials Group of the European Society of Intensive Care Medicine & Silversides, J 2019, ' Epidemiology of intra-abdominal infection and sepsis in critically ill patients: "AbSeS", a multinational observational cohort study and ESICM Trials Group Project ', Intensive Care Medicine, vol. 45, no. 12, pp. 1703-1717 . https://doi.org/10.1007/s00134-019-05819-3, Intensive Care Medicine, r-FISABIO: Repositorio Institucional de Producción Científica, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO), Intensive Care Medicine, 2019, 45 (12), pp.1703-1717. ⟨10.1007/s00134-019-05819-3⟩, Intensive care medicine, Vol. 45, no.12, p. 1703-1717 (2019), Intensive Care Medicine, 45(12), 1703. Springer Verlag, Intensive care medicine, INTENSIVE CARE MEDICINE, Scientia, Intensive Care Medicine, Springer Verlag, 2019, 45 (12), pp.1703-1717. ⟨10.1007/s00134-019-05819-3⟩, r-FISABIO. Repositorio Institucional de Producción Científica, instname, Intensive Care Medicine, 45(12), 1703-1717. Springer-Verlag, Volume 45, Issue 12, Blot, S, Antonelli, M, Arvaniti, K, Blot, K, Creagh-Brown, B, de Lange, D, De Waele, J, Deschepper, M, Dikmen, Y, Dimopoulos, G, Eckmann, C, Francois, G, Girardis, M, Koulenti, D, Labeau, S, Lipman, J, Lipovestky, F, Maseda, E, Montravers, P, Mikstacki, A, Paiva, J A, Pereyra, C, Rello, J, Timsit, J F, Vogelaers, D & the Abdominal Sepsis Study (AbSeS) group on behalf of the Trials Group of the European Society of Intensive Care Medicine 2019, ' Epidemiology of intra-abdominal infection and sepsis in critically ill patients : “AbSeS”, a multinational observational cohort study and ESICM Trials Group Project ', Intensive Care Medicine, vol. 45, no. 12, pp. 1703-1717 . https://doi.org/10.1007/s00134-019-05819-3
- Accession number :
- edsair.doi.dedup.....0f3c7cb4866330431d1d3c5be59593e2
- Full Text :
- https://doi.org/10.1007/s00134-019-05819-3