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Recommendations on Securing Microbiological Specimens to Guide the Multidisciplinary Management of Infective Native Aortic Aneurysms

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@article{29722ef37291454d9be3a0ec9925ba58,
title = "Recommendations on Securing Microbiological Specimens to Guide the Multidisciplinary Management of Infective Native Aortic Aneurysms",
abstract = "BACKGROUND: The absence of recommendations for the systematic collection of microbiological specimens to help determine the management of infective native aortic aneurysms (INAAs) may lead to diagnostic difficulty and suboptimal antibiotic treatment. In this review, we attempt to establish recommendations in the field by identifying current strategies for the diagnosis and management of INAA and comparing them with those for infective endocarditis (IE).METHODS: A systematic literature review of Medline and ScienceDirect databases was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses)methodology to identify guidelines for the management of INAA. These guidelines were scrutinized for recommendations concerning the procurement of microbiological specimens according to a defined protocol and involvement of specialists in infectious diseases and compared with current practice for IE.RESULTS: Three guidelines were found to have sections dedicated to INAA. Of these, none provided any recommendations concerning the procurement of microbiological specimens for diagnostic and therapeutic purposes. The guidelines from the American Heart Association recommend that patients with INAA should be managed by a team of specialists (including representation from the fields of infectious diseases and/or microbiology). Current guidelines for the investigation and management of IE provide detailed recommendations concerning the procurement of microbiological specimens for diagnostic and therapeutic purposes, as well as the involvement of specialists in infectious medicine in multidisciplinary management.CONCLUSION: This article emphasizes the absence of recommendations for the optimal diagnosis and management of patients with INAAs. While specific research is required to create evidence-based recommendations, application of strategies to identify microorganisms and multidisciplinary team management derived from the management of IE may be both safe and appropriate for the clinical management of this highly complex and heterogeneous group.",
keywords = "Aneurysm, Infected/diagnosis, Aortic Aneurysm/diagnosis, Bacteriological Techniques/standards, Clinical Decision-Making, Consensus, Endocarditis/diagnosis, Humans, Practice Guidelines as Topic, Practice Patterns, Physicians'/standards, Predictive Value of Tests, Prognosis, Specimen Handling/standards",
author = "Karl S{\"o}relius and Bernard Prendergast and Emil Fosb{\o}l and Lars S{\o}ndergaard",
note = "Copyright {\textcopyright} 2020 Elsevier Inc. All rights reserved.",
year = "2020",
month = oct,
doi = "10.1016/j.avsg.2020.05.059",
language = "English",
volume = "68",
pages = "536--541",
journal = "Annals of Vascular Surgery",
issn = "0890-5096",
publisher = "Elsevier Inc",

}

RIS

TY - JOUR

T1 - Recommendations on Securing Microbiological Specimens to Guide the Multidisciplinary Management of Infective Native Aortic Aneurysms

AU - Sörelius, Karl

AU - Prendergast, Bernard

AU - Fosbøl, Emil

AU - Søndergaard, Lars

N1 - Copyright © 2020 Elsevier Inc. All rights reserved.

PY - 2020/10

Y1 - 2020/10

N2 - BACKGROUND: The absence of recommendations for the systematic collection of microbiological specimens to help determine the management of infective native aortic aneurysms (INAAs) may lead to diagnostic difficulty and suboptimal antibiotic treatment. In this review, we attempt to establish recommendations in the field by identifying current strategies for the diagnosis and management of INAA and comparing them with those for infective endocarditis (IE).METHODS: A systematic literature review of Medline and ScienceDirect databases was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses)methodology to identify guidelines for the management of INAA. These guidelines were scrutinized for recommendations concerning the procurement of microbiological specimens according to a defined protocol and involvement of specialists in infectious diseases and compared with current practice for IE.RESULTS: Three guidelines were found to have sections dedicated to INAA. Of these, none provided any recommendations concerning the procurement of microbiological specimens for diagnostic and therapeutic purposes. The guidelines from the American Heart Association recommend that patients with INAA should be managed by a team of specialists (including representation from the fields of infectious diseases and/or microbiology). Current guidelines for the investigation and management of IE provide detailed recommendations concerning the procurement of microbiological specimens for diagnostic and therapeutic purposes, as well as the involvement of specialists in infectious medicine in multidisciplinary management.CONCLUSION: This article emphasizes the absence of recommendations for the optimal diagnosis and management of patients with INAAs. While specific research is required to create evidence-based recommendations, application of strategies to identify microorganisms and multidisciplinary team management derived from the management of IE may be both safe and appropriate for the clinical management of this highly complex and heterogeneous group.

AB - BACKGROUND: The absence of recommendations for the systematic collection of microbiological specimens to help determine the management of infective native aortic aneurysms (INAAs) may lead to diagnostic difficulty and suboptimal antibiotic treatment. In this review, we attempt to establish recommendations in the field by identifying current strategies for the diagnosis and management of INAA and comparing them with those for infective endocarditis (IE).METHODS: A systematic literature review of Medline and ScienceDirect databases was performed using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses)methodology to identify guidelines for the management of INAA. These guidelines were scrutinized for recommendations concerning the procurement of microbiological specimens according to a defined protocol and involvement of specialists in infectious diseases and compared with current practice for IE.RESULTS: Three guidelines were found to have sections dedicated to INAA. Of these, none provided any recommendations concerning the procurement of microbiological specimens for diagnostic and therapeutic purposes. The guidelines from the American Heart Association recommend that patients with INAA should be managed by a team of specialists (including representation from the fields of infectious diseases and/or microbiology). Current guidelines for the investigation and management of IE provide detailed recommendations concerning the procurement of microbiological specimens for diagnostic and therapeutic purposes, as well as the involvement of specialists in infectious medicine in multidisciplinary management.CONCLUSION: This article emphasizes the absence of recommendations for the optimal diagnosis and management of patients with INAAs. While specific research is required to create evidence-based recommendations, application of strategies to identify microorganisms and multidisciplinary team management derived from the management of IE may be both safe and appropriate for the clinical management of this highly complex and heterogeneous group.

KW - Aneurysm, Infected/diagnosis

KW - Aortic Aneurysm/diagnosis

KW - Bacteriological Techniques/standards

KW - Clinical Decision-Making

KW - Consensus

KW - Endocarditis/diagnosis

KW - Humans

KW - Practice Guidelines as Topic

KW - Practice Patterns, Physicians'/standards

KW - Predictive Value of Tests

KW - Prognosis

KW - Specimen Handling/standards

UR - http://www.scopus.com/inward/record.url?scp=85087370842&partnerID=8YFLogxK

U2 - 10.1016/j.avsg.2020.05.059

DO - 10.1016/j.avsg.2020.05.059

M3 - Review

C2 - 32502673

VL - 68

SP - 536

EP - 541

JO - Annals of Vascular Surgery

JF - Annals of Vascular Surgery

SN - 0890-5096

ER -

ID: 62055266