Hellenic Registry for cIAIs (HERCO-II)

Registry of patients with complicated intra-abdominal infections including:

• Patient demographics (gender, age, Carlson Comorbidity Index, cancer history/chemotherapy during the last 6 months, health unit stay during the last 6 months)
• Management (conservative, minimally invasive, surgical)
• Minimally invasive procedure - type (CT-guided drainage, endoscopic)
• Surgical procedure - type (open or laparoscopic, day or night, procedure description)
• Cultures (blood, peritoneal fluid, tissue)
• Time of diagnosis (respiratory rate, heart rate, systolic blood pressure, lactate acid in blood gases, temperature, white cell count, CRP)
• Just before procedure (respiratory rate, heart rate, systolic blood pressure, lactate acid in blood gases, vasoactive agent delivery, intubation)
• Intraoperative parameters (time interval between diagnosis and intervention, WSES score, operative time, open abdomen, VAC)
• After procedure (respiratory rate, heart rate, systolic blood pressure, lactate acid in blood gases, temperature, vasoactive agent delivery, intubation)
• Empirical wide-spectrum antibiotics (type and time interval from diagnosis)

Inclusion criteria

• Age ≥ 18 years old
• Signed consent from patient or authorized representative
• Complicated Intra-Abdominal Infection

• Acute appendicitis with localized or diffuse peritonitis
• Grade II or Grade III acute cholecystitis (Tokyo guidelines)
• Visceral organ perforation with peritonitis
• Bowel perforation after colonoscopy
• Complicated diverticulitis (WSES classification)
• Anastomotic leaks with abscess, localized or diffuse peritonitis

Exclusion criteria

• Age < 18 years old
• No signed consent from patient or authorized representative