2024 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Complicated Intra-abdominal Infections: Diagnostic Imaging of Suspected Acute Intra-abdominal Abscess in Adults, Children, and Pregnant People

doi:10.1093/cid/ciae351

Practice Guideline

. 2024 Oct 4;79(Suppl 3):S113-S117.

doi: 10.1093/cid/ciae351.

2024 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Complicated Intra-abdominal Infections: Diagnostic Imaging of Suspected Acute Intra-abdominal Abscess in Adults, Children, and Pregnant People

Robert A Bonomo^{1

2

3

4}, Pranita D Tamma⁵, Fredrick M Abrahamian^{6

7}, Mary Bessesen^{8

9}, Anthony W Chow¹⁰, E Patchen Dellinger¹¹, Morven S Edwards¹², Ellie Goldstein¹³, Mary K Hayden¹⁴, Romney Humphries¹⁵, Keith S Kaye¹⁶, Brian A Potoski¹⁷, Jesús Rodríguez-Baño¹⁸, Robert Sawyer¹⁹, Marion Skalweit²⁰, David R Snydman²¹, Katelyn Donnelly²², Jennifer Loveless²²

Affiliations

¹ Medical Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
² Clinician Scientist Investigator, Research Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
³ Departments of Medicine, Pharmacology, Molecular Biology and Microbiology, Biochemistry, and Proteomics and Bioinformatics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
⁴ CWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (Case VA CARES) Cleveland, Ohio, USA.
⁵ Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
⁶ Department of Emergency Medicine, Olive View-University of California, Los Angeles (UCLA) Medical Center, Sylmar, California, USA.
⁷ David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
⁸ Department of Medicine, Veterans Affairs Eastern Colorado Health Care, Aurora, Colorado, USA.
⁹ Division of Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, USA.
¹⁰ Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
¹¹ Department of Surgery, University of Washington, Seattle, Washington, USA.
¹² Division of Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
¹³ RM Alden Research Laboratory, Santa Monica, California, USA.
¹⁴ Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA.
¹⁵ Division of Laboratory Medicine, Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
¹⁶ Division of Allergy, Immunology and Infectious Diseases, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
¹⁷ Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania, USA.
¹⁸ Division of Infectious Diseases and Microbiology, Department of Medicine, Hospital Universitario Virgen Macarena, University of Seville, Biomedicines Institute of Seville-Consejo Superior de Investigaciones Científicas, Seville, Spain.
¹⁹ Department of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.
²⁰ Department of Medicine and Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
²¹ Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA.
²² Clinical Affairs and Practice Guidelines, Infectious Diseases Society of America, Arlington, Virginia, USA.

PMID: 38963815
DOI: 10.1093/cid/ciae351

Practice Guideline

2024 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Complicated Intra-abdominal Infections: Diagnostic Imaging of Suspected Acute Intra-abdominal Abscess in Adults, Children, and Pregnant People

Robert A Bonomo et al. Clin Infect Dis. 2024.

. 2024 Oct 4;79(Suppl 3):S113-S117.

doi: 10.1093/cid/ciae351.

Authors

Affiliations

¹ Medical Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
² Clinician Scientist Investigator, Research Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio, USA.
³ Departments of Medicine, Pharmacology, Molecular Biology and Microbiology, Biochemistry, and Proteomics and Bioinformatics, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
⁴ CWRU-Cleveland VAMC Center for Antimicrobial Resistance and Epidemiology (Case VA CARES) Cleveland, Ohio, USA.
⁵ Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
⁶ Department of Emergency Medicine, Olive View-University of California, Los Angeles (UCLA) Medical Center, Sylmar, California, USA.
⁷ David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
⁸ Department of Medicine, Veterans Affairs Eastern Colorado Health Care, Aurora, Colorado, USA.
⁹ Division of Infectious Diseases, University of Colorado School of Medicine, Aurora, Colorado, USA.
¹⁰ Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
¹¹ Department of Surgery, University of Washington, Seattle, Washington, USA.
¹² Division of Infectious Diseases, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
¹³ RM Alden Research Laboratory, Santa Monica, California, USA.
¹⁴ Division of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA.
¹⁵ Division of Laboratory Medicine, Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
¹⁶ Division of Allergy, Immunology and Infectious Diseases, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
¹⁷ Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania, USA.
¹⁸ Division of Infectious Diseases and Microbiology, Department of Medicine, Hospital Universitario Virgen Macarena, University of Seville, Biomedicines Institute of Seville-Consejo Superior de Investigaciones Científicas, Seville, Spain.
¹⁹ Department of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.
²⁰ Department of Medicine and Biochemistry, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
²¹ Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts, USA.
²² Clinical Affairs and Practice Guidelines, Infectious Diseases Society of America, Arlington, Virginia, USA.

PMID: 38963815
DOI: 10.1093/cid/ciae351

Abstract

This article is part of a clinical practice guideline update on the risk assessment, diagnostic imaging, and microbiological evaluation of complicated intra-abdominal infections in adults, children, and pregnant people, developed by the Infectious Diseases Society of America. In this article, the panel provides recommendations for diagnostic imaging of suspected acute intra-abdominal abscess. The panel's recommendations are based on evidence derived from systematic literature reviews and adhere to a standardized methodology for rating the certainty of evidence and strength of recommendation according to the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach.

Keywords: abscess; diagnostic imaging; guideline; intra-abdominal infection; radiology.

© The Author(s) 2024. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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Conflict of interest statement

Potential conflicts of interest. Evaluation of relationships as potential conflicts of interest (COIs) is determined by a review process. The assessment of disclosed relationships for possible COIs is based on the relative weight of the financial relationship (ie, monetary amount) and the relevance of the relationship (ie, the degree to which an association might reasonably be interpreted by an independent observer as related to the topic or recommendation of consideration). A. W. C. receives honoraria from UpToDate and serves on an Agency for Healthcare Research and Quality technical expert panel for diagnosis of acute right lower quadrant abdominal pain (suspected acute appendicitis). M. S. E. receives royalties from UpToDate, as co-section editor of Pediatric Infectious Diseases. M. K. H. serves on the board of directors for the Society for Healthcare Epidemiology of America. J. R. B. serves as past president of the European Society of Clinical Microbiology and Infectious Diseases. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.

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2024 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Complicated Intra-abdominal Infections: Diagnostic Imaging of Suspected Acute Intra-abdominal Abscess in Adults, Children, and Pregnant People

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2024 Clinical Practice Guideline Update by the Infectious Diseases Society of America on Complicated Intra-abdominal Infections: Diagnostic Imaging of Suspected Acute Intra-abdominal Abscess in Adults, Children, and Pregnant People

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