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Current Infectious Disease Reports
Erschienen in: Current Infectious Disease Reports 7/2016

01.07.2016 | Sepsis and ICU (JL Vincent, Section Editor)

Improving the Recognition of, and Response to In-Hospital Sepsis

verfasst von: Peter Chan, Sandra Peake, Rinaldo Bellomo, Daryl Jones

Erschienen in: Current Infectious Disease Reports | Ausgabe 7/2016

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Abstract

Sepsis is an important cause of patient morbidity and mortality worldwide. Although the associated mortality seems to be decreasing, approximately 20 % of patients with organ dysfunction die in hospital. Since 1991 diagnostic criteria for sepsis focused on the systemic inflammatory response syndrome (SIRS). However, the utility of such criteria has been questioned, and alternative criteria have recently been proposed. It is likely that administration of early appropriate antibiotics and resolution of shock reduce sepsis-associated mortality. Accordingly, strategies need to be developed to improve the early recognition of, and response to patients with sepsis. Such system approaches may include improved acquisition and documentation of vital signs, enhanced recognition of shock, and integration of laboratory and microbiological results using clinical informatics. Hospitals should have guidelines for escalating care of septic patients, antibiotics stewardship programs, and systems to audit morbidity and mortality associated with sepsis.
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Metadaten
Titel
Improving the Recognition of, and Response to In-Hospital Sepsis
verfasst von
Peter Chan
Sandra Peake
Rinaldo Bellomo
Daryl Jones
Publikationsdatum
01.07.2016
Verlag
Springer US
Erschienen in
Current Infectious Disease Reports / Ausgabe 7/2016
Print ISSN: 1523-3847
Elektronische ISSN: 1534-3146
DOI
https://doi.org/10.1007/s11908-016-0528-7

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