Author:
Ohge Hiroki, ,Mayumi Toshihiko,Haji Seiji,Kitagawa Yuichi,Kobayashi Masahiro,Kobayashi Motomu,Mizuguchi Toru,Mohri Yasuhiko,Sakamoto Fumie,Shimizu Junzo,Suzuki Katsunori,Uchino Motoi,Yamashita Chizuru,Yoshida Masahiro,Hirata Koichi,Sumiyama Yoshinobu,Kusachi Shinya
Abstract
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.
Publisher
Springer Science and Business Media LLC
Reference365 articles.
1. Committee for Gastroenterological Surgical Site Infection Guidelines, the Japan Society for Surgical Infection. Japan Society for Surgical Infection: Gastroenterological Surgical Site Infection Guidelines 2018, Shindan To Chiryo sha Inc, Tokyo, 2018 (in Japanese).
2. Guyatt GH, Oxman AD, Kunz R, GRADE Working Group, et al. Incorporating considerations of resources use into grading recommendations. BMJ. 2008a;336:1170–3.
3. Guyatt GH, Oxman AD, Kunz R, GRADE Working Group, et al. Rating quality of evidence and strength of recommendations: going from evidence to recommendations. BMJ. 2008b;336:1049–51.
4. Zhang Y, Coello PA, Guyatt GH, Yepes-Nuñez JJ, Akl EA, Hazlewood G, et al. GRADE guidelines: 20. Assessing the certainty of evidence in the importance of outcomes or values and preferences—inconsistency, imprecision, and other domains. J Clin Epidemiol. 2019;111:83–93.
5. Kalra L, Camacho F, Whitener CJ, Du P, Miller M, Zalonis C, et al. Risk of methicillin-resistant Staphylococcus aureus surgical site infection in patients with nasal MRSA colonization. Am J Infect Control. 2013;41:1253–7 (PMID 23973424).
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