The Bucharest ESTES consensus statement on peritonitis
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The Bucharest ESTES consensus statement on peritonitis Bogdan Diaconescu1 · Selman Uranues2 · Abe Fingerhut3 · Mihaela Vartic4 · Mauro Zago5 · Hayato Kurihara6 · Rifat Latifi7 · Dorin Popa8 · Ari Leppäniemi9 · Jonathan Tilsed10 · Matei Bratu1 · Mircea Beuran11 Received: 3 October 2018 / Accepted: 27 February 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Introduction Peritonitis is still an important health problem associated with high morbidity and mortality. A multidisciplinary approach to the management of patients with peritonitis may be an important factor to reduce the risks for patients and improve efficiency, outcome, and the cost of care. Methods Expert panel discussion on Peritonitis was held in Bucharest on May 2017, during the 17th ECTES Congress, involving surgeons, infectious disease specialists, radiologists and intensivists with the goal of defining recommendations for the optimal management of peritonitis. Conclusion This document is an updated presentation of management of peritonitis and represents the summary of the final recommendations approved by a panel of experts. Keywords Peritonitis · Sepsis · Antibiotics
* Bogdan Diaconescu [email protected] 1
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Westchester Medical Center, Valhalla, New York, USA
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Surgery Department, University Hospital Linkoping, Linköping, Sweden
Division of Gastrointestinal Surgery, Helsinki University Central Hospital, Helsinki, Finland
Anatomy Department, Carol Davila University of Medicine and Phamacy, Bucharest, Romania
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Surgical Research Department of Surgery Medical, University of Graz, Graz, Austria
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Honorary Senior Lecturer Hull York Medical School, Chairman UEMS Division of Emergency Surgery, Heslington, UK
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Surgery Department, Carol Davila University of Medicine and Phamacy, Bucharest, Romania
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MeduniGraz, Paris, France
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Intensive Care Unit, Emergency Clinic Hospital Bucharest, Bucharest, Romania
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General and Emergency Surgery Division, Department of Emergency and Robotic Surgery, A. Manzoni Hospital, ASST Lecco, Lecco, Italy
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Emergency Surgery and Trauma Section, Department of General Surgery, Humanitas Clinical and Research Hospital Head, Milan, Italy
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Vol.:(0123456789)
B. Diaconescu et al.
Peritonitis definition, classifications and severity scores Peritonitis is a form of complicated intraabdominal infection but is not synonymous with it Abdominal sepsis refers to sepsis caused by an intra-abdominal infection Peritonitis can be classified as primary, secondary or tertiary peritonitis, and as localized or diffuse Physiologic scores and the Mannheim peritonitis index (MPI) should be used to predict short-term risk of morbidity and mortality
According to the Merriam-Webster medical dictionary, peritonitis is defined as inflammation of the peritoneum, the serous membrane lining the abdominal cavity and organs contained within. The cause of inflammation can be infectious (bacteria or fungus) or non-infectious, related to chemical irritants
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