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Empiric treatment options in the management of complicated intra-abdominal infections
1Department of Surgery, Division of Trauma/Critical Care, Medical College of Wisconsin, Milwaukee, WI 53226, USA. jweigelt@mcw.edu
Abstract:
Complicated intra-abdominal infections remain a major challenge for surgeons and internists because of their association with high morbidity and mortality. For optimal outcome, these infections require a combination of appropriate and timely surgical source control and adjunctive broad-spectrum antimicrobial therapy. This review discusses criteria for choosing empiric antimicrobial therapy, outlines available treatment options, and highlights new antimicrobial therapies for these infections.
Insights
Complicated intra-abdominal infections pose significant risks. Optimal treatment combines surgical intervention with effective broad-spectrum antimicrobial therapy, including new options.
Area of Science:
- Infectious Diseases
- Surgical Infections
- Antimicrobial Therapy
Background:
- Complicated intra-abdominal infections (IAIs) are a leading cause of morbidity and mortality.
- Effective management necessitates prompt surgical source control and appropriate antimicrobial treatment.
Purpose of the Study:
- To review current strategies for empiric antimicrobial therapy in complicated IAIs.
- To outline available and emerging antimicrobial treatment options.
Main Methods:
- Literature review of existing guidelines and recent studies.
- Analysis of criteria for selecting empiric antimicrobial agents.
- Evaluation of current and novel antimicrobial therapies.
Main Results:
- Empiric therapy selection depends on local resistance patterns and infection severity.
- Combination therapy is often required for optimal outcomes.
- New antimicrobial agents offer expanded treatment possibilities.
Conclusions:
- Optimizing outcomes in complicated IAIs requires a multidisciplinary approach.
- Judicious use of broad-spectrum antimicrobials, guided by evidence, is crucial.
- Emerging therapies hold promise for managing challenging infections.
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