Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

Póster: Clonas internacionales CC113 y CC92 de Acinetobacter baumannii no susceptibles a carbapenémicos en hospitales mexicanos: estudio multicéntrico.

Acinetobacter baumannii resistente a carbapenémicos es un patógeno nosocomial importante asociado a ciertos complejos clonales, mediada por la producción de oxacilinasas de los grupos 23, 24 y 58 cuyos genes pueden estar asociados a elementos de inserción como las ISAba. Los 192 aislamientos fueron no susceptibles a imipenem; todos fueron sensibles a tigeciclina, colistina y la blaOXA51-like. El estudio mostró una alta prevalencia de aislamientos de A. baumannii resistentes a carbapenémicos donde predominan los complejos clonales CC113 y CC92 y la regionalización en el norte de los alelos OXA-72 y en el sur del país OXA-239. Las opciones terapéuticas para combatir estas infecciones son limitadas