ACR Appropriateness Criteria Radiologic Management of Infected Fluid Collections

• Published in: Journal of the American College of Radiology Vol. 12; no. 8; pp. 791 - 799
• Main Authors: Lorenz, Jonathan M., MD, Al-Refaie, Waddah B., MD, Cash, Brooks D., MD, Gaba, Ron C., MD, Gervais, Debra A., MD, Gipson, Matthew G., MD, Kolbeck, Kenneth J., MD, PhD, Kouri, Brian E., MD, Marshalleck, Francis E., MBBS, Nair, Ajit V., MD, Ray, Charles E., MD, PhD, Hohenwalter, Eric J., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.08.2015
• Subjects: abscess; Abscess - diagnostic imaging; Abscess - therapy; Appropriateness Criteria; drainage; Drainage - standards; endoscopic; Endoscopy - standards; Humans; infected fluid; percutaneous; Practice Guidelines as Topic; Radiography, Interventional - standards; Radiology; Radiology - standards; United States; endoscopic; drainage; percutaneous; Appropriateness Criteria; abscess; infected fluid
• ISSN: 1546-1440; 1558-349X
• DOI: 10.1016/j.jacr.2015.04.025

Abstract The best management of infected fluid collections depends on a careful assessment of clinical and anatomic factors as well as an up-to-date review of the published literature, to be able to select from a host of multidisciplinary treatment options. This article reviews conservative, radiologic, endoscopic, and surgical options and their best application to infected fluid collections as determined by the ACR Appropriateness Criteria Expert Panel on Interventional Radiology. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals, and the application, by the panel, of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.