Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study
The CIAO Study ("Complicated Intra-Abdominal infection Observational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012).Patients with either community-acquired or healthcare-ass...
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| Published in | World journal of emergency surgery Vol. 7; no. 1; p. 36 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BioMed Central Ltd
29.11.2012
BioMed Central BMC |
| Subjects | |
| Online Access | Get full text |
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| Abstract | The CIAO Study ("Complicated Intra-Abdominal infection Observational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012).Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.2,152 patients with a mean age of 53.8 years (range: 4-98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified.The overall mortality rate was 7.5% (163/2.152).According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission.Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe. |
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| AbstractList | The CIAO Study ("C omplicated Intra-A bdominal infection O bservational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012). Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study. 2,152 patients with a mean age of 53.8 years (range: 4-98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified. The overall mortality rate was 7.5% (163/2.152). According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission. Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe. The CIAO Study ("C omplicated Intra-A bdominal infection O bservational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012). 2,152 patients with a mean age of 53.8 years (range: 4-98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified. The CIAO Study ("Complicated Intra-Abdominal infection Observational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012).Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study.2,152 patients with a mean age of 53.8 years (range: 4-98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified.The overall mortality rate was 7.5% (163/2.152).According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission.Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe. Abstract The CIAO Study (“Complicated Intra-Abdominal infection Observational” Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012). Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study. 2,152 patients with a mean age of 53.8 years (range: 4–98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified. The overall mortality rate was 7.5% (163/2.152). According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission. Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe. The CIAO Study (“ C omplicated Intra-A bdominal infection O bservational” Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012). Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study. 2,152 patients with a mean age of 53.8 years (range: 4–98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified. The overall mortality rate was 7.5% (163/2.152). According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission. Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe. Doc number: 36 Abstract: The CIAO Study ("C omplicated Intra-A bdominal infection O bservational" Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012). Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study. 2,152 patients with a mean age of 53.8 years (range: 4-98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified. The overall mortality rate was 7.5% (163/2.152). According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission. Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe. |
| Audience | Academic |
| Author | Augustin, Goran Agresta, Ferdinando Bouliaris, Konstantinos Jovine, Elio de Werra, Carlo Tzerbinis, Helen Navarro, Salvador Kenig, Jakub Vettoretto, Nereo Tepp, Jaan Alis, Halil Vereczkei, Andras Dziki, Adam Pintar, Tadeja Giakoustidis, Dimitrios Skrovina, Matej Scibè, Rodolfo Vladov, Nikola Catena, Fausto Sartelli, Massimo Torer, Nurkan Hutan, Martin Ansaloni, Luca Pereira, Jorge Coletta, Pietro Coccolini, Federico Tranà, Cristian Rems, Miran Giraudo, Giorgio Poiasina, Elia Weiss, Gunter Kauhanen, Saila Lasithiotakis, Konstantinos Ferrero, Alessandro Khokha, Vladimir Zivanovic, Dragoljub Massalou, Damien Rausei, Stefano Moldovanu, Radu Petrovic, Jelena Viale, Pierluigi Herych, Ihor Sakakushev, Boris Huchon, Cyrille Lazzareschi, Daniel Vasco Taviloglu, Korhan Aloia, Sergio Marrelli, Daniele de Melo, Renato Bessa Vasquez, Giorgio Corbella, Davide Pittet, Olivier Delibegovic, Samir Laine, Samipetteri Bini, Roberto Ney, Ludwig Negoi, Ionut van Dellen, David Angst, Eliane Di Saverio, Salomone Marinis, Athanasios Pletinckx, Pieter Smirnov, Dmitry Krasn |
| AuthorAffiliation | 37 Department of Emergency Surgery Azienda Ospedaliero-Universitaria S.Anna, Ferrara, Italy 52 Department of surgery, Andosilla Hospital, Civita Castellana, Italy 35 First General Surgery, North Estonia Regional Hospital, Tallinn, Estonia 53 Department of Surgery, Jesi Hospital, Jesi, Italy 59 Department of Pediatric surgery, Paediatric surgery and orthopaedic Clinic, Nis, Serbia 66 Department of Gynecology and Obstetrics, CHI Poissy-St-Germain-En-Laye, France and University Versailles Saint-Quentin, Versailles, France 70 1st Surgical Department, General Regional Hospital "George Papanikolaou", Thessaloniki, Greece 63 Deparment of Surgery, Downtown Campus, University Hospital of Munich, Munich, Germany 14 Department of Surgery, Parc Tauli University Hospital, Barcelona, Spain 41 Department of General and Colorectal Surgery, University Hospital, Central Veterans Hospital, Lodz, Poland 30 Department of Visceral Surgery and Medicine, Inselspital Bern, University of Bern, Bern, Switzerland 17 Departm |
| AuthorAffiliation_xml | – name: 41 Department of General and Colorectal Surgery, University Hospital, Central Veterans Hospital, Lodz, Poland – name: 34 General and Vascular Surgery, M.Mellini Hospital, Chiari, Italy – name: 13 Department of General Surgery, Baskent University Faculty of Medicine, Adana, Turkey – name: 16 Department of Emergency Surgery, University Hospital of Nice, University of Nice Sophia-Antipolis, Sophia-Antipolis, France – name: 22 Department of Surgery, Maggiore Hospital, Bologna, Italy – name: 69 Division of Transplantation, Department of Surgery, Medical School, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece – name: 12 Department of General Surgery, Bakirkoy Training Research Hospital, Istanbul, Turkey – name: 27 Department of Surgery (Chief Renzo Dionigi), University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy – name: 60 General Surgery, Clinical Hospital at Chelyabinsk Station OJSC "Russian Railroads", Chelyabinsk City, Russian Federation – name: 20 Department of Surgery, AZ Maria Middelares, Ghent, Belgium – name: 40 Department of surgery, University Clinic Center Tuzla, Tuzla, Bosnia and Herzegovina – name: 21 3rd Department of Generał Surgery, Narutowicz Hospital, Krakow, Połand – name: 6 Department of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands – name: 25 Department of General and Digestive Surgery, Virgen de la Victoria University Hospital, Malaga, Spain – name: 14 Department of Surgery, Parc Tauli University Hospital, Barcelona, Spain – name: 42 Surgical Department Santa Croce e Carle hospital, Cuneo, Italy – name: 51 Surgical Department, General hospital Jesenice, Jesenice, Slovenia – name: 17 Department of Surgery, University Hospital Center, Zagreb, Croatia – name: 30 Department of Visceral Surgery and Medicine, Inselspital Bern, University of Bern, Bern, Switzerland – name: 36 Intensive Care Klinikum, Magdeburg gGmbH, Magdeburg, Germany – name: 67 Chirurgie Viscerale, Digestive et Oncologique Hospital Prive, Arras les Bonnettes, Arras, France – name: 1 Department of Surgery, Macerata Hospital, Macerata, Italy – name: 54 Department of Gastrointestinal Surgery, North Carelian Central Hospital, Joensuu, Finland – name: 9 General, Oncological, Geriatrical Surgery and advanced Technology, University Federico II, Naples, Italy – name: 39 Department of Surgery, Ospedali Riuniti Umberto I-Lancisi-Salesi, Ancona, Italy – name: 10 Department of Human Pathology and Oncology, Policlinico le Scotte, University Hospital, Siena, Italy – name: 2 Emergency Surgery, Maggiore Parma Hospital, Parma, Italy – name: 32 Department of General Surgery, Lviv Emergency Hospital, Lviv, Ukraine – name: 64 General and emergency surgery, SG Bosco Hospital, Torino, Italy – name: 31 Department of Visceral Surgery Centre Hospitalier Universitaire Vaudois, CHUV, Lausanne, Switzerland – name: 53 Department of Surgery, Jesi Hospital, Jesi, Italy – name: 59 Department of Pediatric surgery, Paediatric surgery and orthopaedic Clinic, Nis, Serbia – name: 43 Department of Surgery, São Teotónio Hospital, Viseu, Portugal – name: 46 IInd Surgical department of Medical faculty Comenius University, University Hospital Bratislava, st. Cyril and Methodius Hospital, Bratislava, Slovakia – name: 49 2nd Department of Surgery, General Army Hospital of Athens, Athens, Greece – name: 63 Deparment of Surgery, Downtown Campus, University Hospital of Munich, Munich, Germany – name: 66 Department of Gynecology and Obstetrics, CHI Poissy-St-Germain-En-Laye, France and University Versailles Saint-Quentin, Versailles, France – name: 70 1st Surgical Department, General Regional Hospital "George Papanikolaou", Thessaloniki, Greece – name: 37 Department of Emergency Surgery Azienda Ospedaliero-Universitaria S.Anna, Ferrara, Italy – name: 23 Department of Surgery, Mazzoni Hospital, Ascoli Piceno, Italy – name: 52 Department of surgery, Andosilla Hospital, Civita Castellana, Italy – name: 38 Department of Hepato-biliary and Pancreatic surgery and Transplantology, Military Medical Hospital, Sofia, Bulgaria – name: 47 Department of Surgery, Medical School University of Pécs, Pécs, Hungary – name: 11 Department of Surgery, Fatebenefratelli Isola Tiberina hospital, Rome, Italy – name: 48 Department of Abdominal Surgery, University Clinical Centre of Kosovo, Prishtina, Kosovo – name: 68 Department of General Surgery, Hospital São João Porto, Porto, Portugal – name: 19 Department of Gastroenterological surgery Turku, University Central Hospital, Turku, Finland – name: 57 Department of General Surgery, University Hospital of Heraklion, Heraklion, Greece – name: 45 Department of Surgery, Manchester Royal Infirmare, Manchester, UK – name: 3 Department of General Surgery, Ospedali Riuniti, Bergamo, Italy – name: 5 Department of Surgery, Sisli Florence Nigtingale Hospital, Istanbul, Turkey – name: 35 First General Surgery, North Estonia Regional Hospital, Tallinn, Estonia – name: 44 Department of HPB and Liver Transplant Surgery, Royal Free Hospital, London, United Kingdom – name: 18 Emergency Department, Umberto I Hospital, “La Sapienza” University of Rome, Rome, Italy – name: 28 Department GI-surgery, Kuopio University Hospital, Kuopio, Finland – name: 8 Department of Anestesiology, Ospedali Riuniti, Bergamo, Italy – name: 26 Department of Surgery, Mauriziano Hospital, Torino, Italy – name: 24 Department of Surgery Hospital and Oncological Centre Novy Jicin, Novy Jicin, Czech republic – name: 7 Department of Internal Medicine Geriatrics and Nephrologic Diseases, Clinic of Infectious Diseases, St Orsola-Malpighi University Hospital, Bologna, Italy – name: 58 Surgical Department, Mozyr, Belarus – name: 61 First Department of Surgery, Tzanion General Hospital, Piraeus, Greece – name: 15 First General Surgery Clinic, University Hospital St. George/Chair of Surgical Propedeutics, Medical Faculty, Medical University Plovdiv, Plovdic, Bulgaria – name: 4 Department of Abdominal Surgery, University Hospital Meilahti, Helsinki, Finland – name: 72 First Surgical clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade 8, Belgrade, Serbia – name: 71 Department of Abdominal Surgery, umc Ljubljana, Ljubljana, Slovenia – name: 62 Department of General Surgery, Emergency Hospital of Bucharest, Bucharest, Romania – name: 33 Department of General Surgery, Ospedale Civile, Adria (RO), Italy – name: 55 Oncologic, Digestive and Emergency Surgery, Bocage Hospital, Dijon, France – name: 65 Department of General Surgery, Hospital La Paz, Madrid, Spain – name: 56 Surgical Department General Hospital of Larissa, Larissa, Greece – name: 29 2nd Department of Surgery, Jagiellonian University, Krakow, Poland – name: 50 Second Surgical Clinic, Emergency Hospital of Craiova, Craiova, Roumanie |
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givenname: Orestis surname: Ioannidis fullname: Ioannidis, Orestis – sequence: 77 givenname: Michele surname: Cucchi fullname: Cucchi, Michele – sequence: 78 givenname: Tadeja surname: Pintar fullname: Pintar, Tadeja – sequence: 79 givenname: Zoran surname: Krivokapic fullname: Krivokapic, Zoran – sequence: 80 givenname: Jelena surname: Petrovic fullname: Petrovic, Jelena |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23190741$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1001/archsurg.139.11.1221 10.1097/SLE.0b013e318058a117 10.1086/604713 10.1186/1749-7922-6-2 10.1308/003588404323043346 10.1128/AAC.01435-06 10.1007/s10350-006-0547-9 10.1007/s10350-004-0701-1 10.1016/S1473-3099(09)70054-4 |
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| References | 19622444 - J Chemother. 2009 Jul;21 Suppl 1:3-4 19062658 - Am Surg. 2008 Nov;74(11):1041-9 19622043 - Clin Infect Dis. 2009 Sep 1;49(5):682-90 21232143 - World J Emerg Surg. 2011;6:2 16752192 - Dis Colon Rectum. 2006 Jul;49(7):966-81 17283189 - Antimicrob Agents Chemother. 2007 May;51(5):1649-55 17710043 - Surg Laparosc Endosc Percutan Tech. 2007 Aug;17(4):245-55 22299325 - Acta Chir Belg. 2011 Nov-Dec;111(6):378-83 19324295 - Lancet Infect Dis. 2009 Apr;9(4):228-36 15140306 - Ann R Coll Surg Engl. 2004 May;86(3):196-201 17966743 - Scand J Surg. 2007;96(3):184-96 15622591 - Dis Colon Rectum. 2004 Nov;47(11):1953-64 15545570 - Arch Surg. 2004 Nov;139(11):1221-4 17186336 - Surg Today. 2007;37(1):1-4 15542959 - Crit Care Med. 2004 Nov;32(11 Suppl):S513-26 10.1186/1749-7922-7-36-B9 10.1186/1749-7922-7-36-B4 10.1186/1749-7922-7-36-B15 10.1186/1749-7922-7-36-B14 10.1186/1749-7922-7-36-B13 - 10.1186/1749-7922-7-36-B8 10.1186/1749-7922-7-36-B12 10.1186/1749-7922-7-36-B10 |
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| Snippet | The CIAO Study ("Complicated Intra-Abdominal infection Observational" Study) is a multicenter investigation performed in 68 medical institutions throughout... The CIAO Study ("C omplicated Intra-A bdominal infection O bservational" Study) is a multicenter investigation performed in 68 medical institutions throughout... Doc number: 36 Abstract: The CIAO Study ("C omplicated Intra-A bdominal infection O bservational" Study) is a multicenter investigation performed in 68 medical... The CIAO Study (“ C omplicated Intra-A bdominal infection O bservational” Study) is a multicenter investigation performed in 68 medical institutions throughout... Abstract The CIAO Study (“Complicated Intra-Abdominal infection Observational” Study) is a multicenter investigation performed in 68 medical institutions... |
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| SubjectTerms | Abdomen Abscess Analysis Epidemiology Health aspects Hospitals Infection Medical research Medicine, Experimental Mortality Nosocomial infections Postoperative period Septic shock |
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| Title | Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study |
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