Hiroki Ohge1, Toshihiko Mayumi2, Seiji Haji3, Yuichi Kitagawa4, Masahiro Kobayashi5, Motomu Kobayashi6, Toru Mizuguchi7, Yasuhiko Mohri8, Fumie Sakamoto9, Junzo Shimizu10, Katsunori Suzuki11, Motoi Uchino12, Chizuru Yamashita13, Masahiro Yoshida14, Koichi Hirata15, Yoshinobu Sumiyama16, Shinya Kusachi17. 1. Department of Infectious Diseases, Hiroshima University Hospital, Hiroshima, Japan. ohge@hiroshima-u.ac.jp. 2. Department of Emergency Medicine, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan. 3. Department of Surgery, Soseikai General Hospital, Kyoto, Japan. 4. Department of Infection Control, National Center for Geriatrics and Gerontology, Aichi, Japan. 5. Laboratory of Clinical Pharmacokinetics, School of Pharmacy, Kitasato University, Tokyo, Japan. 6. Perioperative Management Center, Department of Anesthesiology and Resuscitology, Okayama University Hospital, Okayama, Japan. 7. Division of Surgical Science, Department of Nursing, Sapporo Medical University, Sapporo, Japan. 8. Department of Surgery, Mie Prefectural General Medical Center, Mie, Japan. 9. Infection Control Division, Quality Improvement Center, St. Luke's International Hospital, Tokyo, Japan. 10. Department of Surgery, Toyonaka Municipal Hospital, Osaka, Japan. 11. Division of Infection Control and Prevention, University of Occupational and Environmental Health, Fukuoka, Japan. 12. Division of Inflammatory Bowel Disease Surgery, Department of Gastroenterological Surgery, Hyogo College of Medicine, Hyogo, Japan. 13. Department of Anesthesiology and Critical Care Medicine, Fujita Health University School of Medicine, Aichi, Japan. 14. Department of Hepato-Biliary-Pancreatic and Gastrointestinal Surgery, International University of Health and Welfare, School of Medicine, Chiba, Japan. 15. JR Sapporo Hospital, Sapporo, Japan. 16. Toho University, Tokyo, Japan. 17. Department of Surgery, Tohokamagaya Hospital, Chiba, Japan.
Abstract
BACKGROUND: The guidelines for the prevention, detection, and management of gastroenterological surgical site infections (SSIs) were published in Japanese by the Japan Society for Surgical Infection in 2018. This is a summary of these guidelines for medical professionals worldwide. METHODS: We conducted a systematic review and comprehensive evaluation of the evidence for diagnosis and treatment of gastroenterological SSIs, based on the concepts of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The strength of recommendations was graded and voted using the Delphi method and the nominal group technique. Modifications were made to the guidelines in response to feedback from the general public and relevant medical societies. RESULTS: There were 44 questions prepared in seven subject areas, for which 51 recommendations were made. The seven subject areas were: definition and etiology, diagnosis, preoperative management, prophylactic antibiotics, intraoperative management, perioperative management, and wound management. According to the GRADE system, we evaluated the body of evidence for each clinical question. Based on the results of the meta-analysis, recommendations were graded using the Delphi method to generate useful information. The final version of the recommendations was published in 2018, in Japanese. CONCLUSIONS: The Japanese Guidelines for the prevention, detection, and management of gastroenterological SSI were published in 2018 to provide useful information for clinicians and improve the clinical outcome of patients.
BACKGROUND: The guidelines for the prevention, detection, and management of gastroenterological surgical site infections (SSIs) were published in Japanese by the Japan Society for Surgical Infection in 2018. This is a summary of these guidelines for medical professionals worldwide. METHODS: We conducted a systematic review and comprehensive evaluation of the evidence for diagnosis and treatment of gastroenterological SSIs, based on the concepts of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The strength of recommendations was graded and voted using the Delphi method and the nominal group technique. Modifications were made to the guidelines in response to feedback from the general public and relevant medical societies. RESULTS: There were 44 questions prepared in seven subject areas, for which 51 recommendations were made. The seven subject areas were: definition and etiology, diagnosis, preoperative management, prophylactic antibiotics, intraoperative management, perioperative management, and wound management. According to the GRADE system, we evaluated the body of evidence for each clinical question. Based on the results of the meta-analysis, recommendations were graded using the Delphi method to generate useful information. The final version of the recommendations was published in 2018, in Japanese. CONCLUSIONS: The Japanese Guidelines for the prevention, detection, and management of gastroenterological SSI were published in 2018 to provide useful information for clinicians and improve the clinical outcome of patients.
Entities:
Keywords:
Antibiotics; Drain; Guidelines; Surgical site infection
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