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Erschienen in: Notfall + Rettungsmedizin 8/2019

07.02.2019 | Notfallmedizin | Leitthema

Management der Sepsis: Erstantibiose bereits im Rettungs- und Notarztdienst

Pro und Kontra

verfasst von: Dr. S. Casu, MHBA, D. Häske, Dr. F. Herbstreit, P.-M. Rath

Erschienen in: Notfall + Rettungsmedizin | Ausgabe 8/2019

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Zusammenfassung

Die Sepsis ist eine häufige und gefährliche Erkrankung, an der die Patienten oft versterben. Der Beitrag stellt die kontroverse Meinung (Pro und Kontra) zweier Autorengruppen hinsichtlich einer frühzeitigen Erstantibiose in der Präklinik vor. Die „Pro-Gruppe“ vertritt die Ansicht, dass die Patienten bereits von einer frühzeitigen Diagnose und anschließender Erstantibiose im Rettungs- und Notarztdienst profitieren. Da keine Hinweise für schädliche Folgen einer solchen Therapie existieren, ist es aus Sicht der Autoren nur schwer nachvollziehbar, weshalb eine offensichtlich lebensrettende Gabe eines Antibiotikums nicht bereits präklinisch erfolgen sollte. Die „Kontra-Gruppe“ sieht den Nutzen einer präklinischen Antibiotikatherapie für den ohnehin im Rettungsdienst seltenen und schwer zu diagnostizierenden septischen Schock nicht klar belegt. Außerdem werden neben logistischen Schwierigkeiten negative Auswirkungen hinsichtlich Diagnostik und Resistenzentwicklung befürchtet, sodass eine präklinische Antibiotikatherapie bei den hierzulande kurzen Transportzeiten überflüssig scheint.
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Metadaten
Titel
Management der Sepsis: Erstantibiose bereits im Rettungs- und Notarztdienst
Pro und Kontra
verfasst von
Dr. S. Casu, MHBA
D. Häske
Dr. F. Herbstreit
P.-M. Rath
Publikationsdatum
07.02.2019
Verlag
Springer Medizin
Erschienen in
Notfall + Rettungsmedizin / Ausgabe 8/2019
Print ISSN: 1434-6222
Elektronische ISSN: 1436-0578
DOI
https://doi.org/10.1007/s10049-019-0566-4

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