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|Title:||Improving the Recognition of, and Response to In-Hospital Sepsis.|
|Authors:||Chan, Peter;Peake, Sandra;Bellomo, Rinaldo;Jones, Daryl A|
|Affiliation:||Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia|
Intensive Care Unit, Austin Health, Heidelberg, Victoria, Australia
Western Hospital-Footscray, Footscray, VIC, Australia
Department of Intensive Care Medicine, The Queen Elizabeth Hospital, Woodville, SA, Australia
Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
|Citation:||Current infectious disease reports 2016; 18(7): 20|
|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.|
Rapid response team
|Appears in Collections:||Journal articles|
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