[Interpretation of domestic and foreign guidelines on diagnosis and treatment of abdominal infection].

Abstract

In recent years, both international and domestic societies have published several guidelines on diagnosis and management of intra-abdominal infection. Due to the different evidence and the different methods adopted in the actual formulation of the guidelines, the recommendations of each version of the guidelines are different. Three international guidelines with great impacts were reviewed, including Diagnosis and management of complicated intra-abdominal infection: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America published in 2010, The Surgical Infection Society revised guidelines on the management of intra-abdominal infection published in 2017, and The management of intra-abdominal infections from a global perspective by the World Society of Emergent Surgery. The above guidelines were used to compare with the Chinese guidelines on the diagnosis and management of intra-abdominal infection (2019) which was published in early 2020. Recommendations on the disease severity classification, source control, and antimicrobial therapy are further explained in order to provide guidelines for clinicians.