![]() ![]() A recent multi-center observational study, conducted in 132 medical institutions worldwide during a 4-month period (October 2014–February 2015) enrolled 4553 patients with cIAIs. Ĭomplicated intra-abdominal infections (cIAIs) are an important cause of morbidity and mortality, particularly if poorly managed. This may lead to an overall poorer adherence to international guidelines, making them impractical to a large part of the world’s population. Furthermore, many hospitals continue to have logistic barriers associated with the application of evidence-based practice. ![]() Particularly for the rural populations in low- and middle-income countries (LMICs), there are enormous gaps in access to life-saving and disability-preventing surgical services. Although variations in the spectrum of surgical diseases are observed among and within countries, “essential” surgery and anaesthesia in emergency should be viewed as a core group of services that can be delivered within the context of universal access. Emergency services and acute surgical care constitute a major gap in the focus of the health sector worldwide, and several issues need to be addressed in order to promote a global dialogue on what is the most appropriate way to configure acute care surgery worldwide. The world’s burden of emergency surgery diseases is significant and appears to be increasing. World Journal of Emergency Surgery volume 12, Article number: 29 ( 2017) ![]() The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections ![]()
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