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- W2893220210 abstract "In 2010, the Society of Interventional Radiology (SIR) published its first practice guidelines regarding the use of antibiotic prophylaxis in vascular and interventional radiology (IR) (1Venkatesan A.M. Kundu S. Sacks D. et al.Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association.J Vasc Interv Radiol. 2010; 21: 1611-1630Abstract Full Text Full Text PDF PubMed Scopus (149) Google Scholar). The present update to the original guidelines aims to address the expanding breadth of IR procedures, including the increasing prevalence of pediatric IR procedures, and the increasing repertoire of antibacterial agents. As was the case for the original guidelines (1Venkatesan A.M. Kundu S. Sacks D. et al.Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association.J Vasc Interv Radiol. 2010; 21: 1611-1630Abstract Full Text Full Text PDF PubMed Scopus (149) Google Scholar), the availability of randomized controlled data regarding antibiotic prophylaxis is lacking in the IR literature. Much data are derived from retrospective reviews or extrapolated from surgical data. The relatively rare occurrence of infectious complications in IR makes large-volume, randomized controlled trials impractical. Nonetheless, antibiotic agents are an integral part of the periprocedural management of patients, and the operator must therefore be familiar with the most current clinical recommendations. The Executive Summary (Appendix A [available online on the article’s Supplemental Material page at www.jvir.org]) summarizes the updated clinical recommendations and qualifying statements. Levels of evidence have been assigned to the current recommendations on the basis of the type, quality, quantity, and consistency of the evidence, in accordance with the current American College of Cardiology/American Heart Association Clinical Practice Guideline Recommendation Classification System enabling comparison of the strength (class) and level (quality) of each recommendation with categories used by other guideline developers (2Jacobs A.K. Anderson J.L. Halperin J.L. The evolution and future of ACC/AHA clinical practice guidelines: a 30-year journey: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.J Am Coll Cardiol. 2014; 64: 1373-1384Crossref PubMed Scopus (87) Google Scholar, 3Halperin J.L. Levine G.N. Al-Khatib S.M. et al.Further Evolution of the ACC/AHA Clinical Practice Guideline Recommendation Classification System: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.Circulation. 2016; 133: 1426-1428Crossref PubMed Scopus (56) Google Scholar). This aligns with recommendations promoted by the Institute of Medicine in 2011 (4Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines; Graham R, Mancher M, Miller Wolman D, et al, eds. Washington, DC: National Academies Press (US), 2011.Google Scholar, 5Institute of Medicine (US) Committee on Standards for Systematic Reviews of Comparative Effectiveness Research. Finding what works in health care: standards for systematic reviews. Eden J, Levit L, Berg A, Morton S, eds. Washington, DC: National Academies Press (US), 2011.Google Scholar). SIR produces its Standards of Practice documents by using the following process. Topics of relevance and timeliness are conceptualized by the Standards of Practice Committee members, Service Lines, SIR members, or the Executive Council. A recognized expert or group of experts is identified to serve as the principal author or writing group for the document. Additional authors or societies may be sought to increase the scope, depth, and quality of the document depending on the magnitude of the project. An in-depth literature search is performed, and a critical review of peer-reviewed articles is performed with regard to the study methodology, results, and conclusions. The qualitative weight of these articles is assembled into an evidence table (Table E1 [available online on the article’s Supplemental Material page at www.jvir.org]), which is used to write the document such that it contains evidence-based data. When the evidence of literature is weak, conflicting, or contradictory, consensus for the parameter is reached by a minimum of 12 Standards of Practice Committee members by using a modified Delphi consensus method (Appendix D [available online on the article’s Supplemental Material page at www.jvir.org]) (6Fink A. Kosecoff J. Chassin M. Brook R.H. Consensus methods: characteristics and guidelines for use.Am J Public Health. 1984; 74: 979-983Crossref PubMed Google Scholar, 7Leape L.L. Hilborne L.H. Park R.E. et al.The appropriateness of use of coronary artery bypass graft surgery in New York state.JAMA. 1993; 269: 753-760Crossref PubMed Google Scholar). For the purposes of these documents, consensus is defined as 80% Delphi participant agreement on a value or parameter. The draft document is critically reviewed by the writing group and Standards of Practice Committee members by telephone conference calling or face-to-face meeting. The finalized draft from the Committee is sent to the SIR Operations Committee for approval. Any comments by the Operations Committee are discussed by the Standards of Practice Committee, and appropriate revisions are made to create the finished standards document before its submission for peer review, acceptance, and publication." @default.
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- W2893220210 date "2018-11-01" @default.
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- W2893220210 title "Adult and Pediatric Antibiotic Prophylaxis during Vascular and IR Procedures: A Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology" @default.
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