crta
Hrvatska znanstvena Sekcija img
bibliografija
3 gif
 Naslovna
 O projektu
 FAQ
 Kontakt
4 gif
Pregledavanje radova
Jednostavno pretraživanje
Napredno pretraživanje
Skupni podaci
Upis novih radova
Upute
Ispravci prijavljenih radova
Ostale bibliografije
Slični projekti
 Bibliografske baze podataka

Pregled bibliografske jedinice broj: 931056

Časopis

Autori: Párniczky, A; Lantos, T; Tóth, EM; Szakács, Z; Gódi, S; Hágendorn, R; Illés, D; Koncz, B; Márta, K; Mikó, A; Mosztbacher, D; Németh, BC; Pécsi, D; Szabó, A; Szücs, Á; Varjú, P; Szentesi, A; Darvasi, E Erőss, B; Izbéki, F; Gajdán, L; Halász, A; Vincze, Á; Szabó, I; Pár, G; Bajor, J; Sarlós, P; Czimmer, J; Hamvas, J; Takács, T; Szepes, Z; Czakó, L; Varga, M; Novák, J; Bod, B; Szepes, A; Sümegi, J; Papp, M; Góg, C; Török, I; Huang, W; Xia, Q; Xue, P; Li, W; Chen, W; Shirinskaya, NV; Poluektov, VL; Shirinskaya, AV; Hegyi, PJ; Bátovský, M; Rodriguez-Oballe, JA; Salas, IM; Lopez-Diaz, J; Dominguez- Munoz, JE; Molero, X; Pando, E; Ruiz- Rebollo, ML; Burgueño-Gómez, B; Chang, YT; Chang, MC; Sud, A; Moore, D; Sutton, R; Gougol, A; Papachristou, GI; Susak, YM; Tiuliukin, IO; Gomes, AP; Oliveira, MJ; Aparício, DJ; Tantau, M; Kurti, F; Kovacheva- Slavova, M; Stecher, SS; Mayerle, J; Poropat, Goran; Das, K; Marino, MV; Capurso, G; Małecka-Panas, E; Zatorski, H; Gasiorowska, A; Fabisiak, N; Ceranowicz, P; Kuśnierz-Cabala, B; Carvalho, JR; Fernandes, SR; Chang, JH; Choi, EK; Han, J; Bertilsson, S; Jumaa, H; Sandblom, G; Kacar, S; Baltatzis, M; Varabei, AV; Yeshy, V; Chooklin, S; Kozachenko, A; Veligotsky, N; Hegyi, P; Hungarian Pancreatic Study Group.
Naslov: Antibiotic therapy in acute pancreatitis: From global overuse to evidence based recommendations
( ERCP induced and non-ERCP-induced acute pancreatitis: Two distinct clinical entities? )
Izvornik: Pancreatology (1424-3903) 19 (2019), 4; 488-499
Vrsta rada: članak
Ključne riječi: Acute pancreatitis ; Antibiotic ; Guideline ; Infection ; Recommendation
( Acute pancreatitis ; Antibiotic ; Guideline ; Infection ; Recommendation )
Sažetak:
BACKGROUND: Unwarranted administration of antibiotics in acute pancreatitis presents a global challenge. The clinical reasoning behind the misuse is poorly understood. Our aim was to investigate current clinical practices and develop recommendations that guide clinicians in prescribing antibiotic treatment in acute pancreatitis. METHODS: Four methods were used. 1) Systematic data collection was performed to summarize current evidence ; 2) a retrospective questionnaire was developed to understand the current global clinical practice ; 3) five years of prospectively collected data were analysed to identify the clinical parameters used by medical teams in the decision making process, and finally ; 4) the UpToDate Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was applied to provide evidence based recommendations for healthcare professionals. RESULTS: The systematic literature search revealed no consensus on the start of AB therapy in patients with no bacterial culture test. Retrospective data collection on 9728 patients from 22 countries indicated a wide range (31-82%) of antibiotic use frequency in AP. Analysis of 56 variables from 962 patients showed that clinicians initiate antibiotic therapy based on increased WBC and/or elevated CRP, lipase and amylase levels. The above mentioned four laboratory parameters showed no association with infection in the early phase of acute pancreatitis. Instead, procalcitonin levels proved to be a better biomarker of early infection. Patients with suspected infection because of fever had no benefit from antibiotic therapy. CONCLUSIONS: The authors formulated four consensus statements to urge reduction of unjustified antibiotic treatment in acute pancreatitis and to use procalcitonin rather than WBC or CRP as biomarkers to guide decision-making.
Izvorni jezik: eng
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
MEDLINE
Scopus
SCI-EXP, SSCI i/ili A&HCI
Science Citation Index Expanded (SCI-EXP) (sastavni dio Web of Science Core Collectiona)
Kategorija: Znanstveni
Znanstvena područja:
Kliničke medicinske znanosti
Puni text rada: 931056.1-s2.0-S1424390319300912-main_1.pdf (tekst priložen 26. Svi. 2019. u 20:36 sati)
URL Internet adrese: https://www.sciencedirect.com/science/article/pii/S1424390319300912?via%3Dihub
Broj citata:
Altmetric:
DOI: 10.1016/j.pan.2019.04.003
URL cjelovitog teksta:
Google Scholar: Antibiotic therapy in acute pancreatitis: From global overuse to evidence based recommendations
Upisao u CROSBI: Goran Hauser (goran.hauser@uniri.hr), 17. Ožu. 2018. u 10:53 sati



Verzija za printanje   za tiskati


upomoc
foot_4