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Sepsis: An update in management
Author(s) -
Galen Benjamin T.,
Sankey Christopher
Publication year - 2015
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.2435
Subject(s) - medicine , sepsis , intensive care medicine , surviving sepsis campaign , intensive care unit , resuscitation , disease , incidence (geometry) , hospital medicine , severe sepsis , emergency medicine , septic shock , physics , optics
Hospitalists are a critical link in providing evidence‐based care for patients with sepsis across the disease spectrum, from early recognition to recovery. The past decade of sepsis research has led to significant findings that will change clinical practice for hospital medicine practitioners. Although the incidence of severe sepsis in the United States has continued to rise, in‐hospital mortality has declined. Management of the spectrum of sepsis disorders is no longer restricted to the intensive care unit (ICU). This review article will provide an update in the management of sepsis for hospitalists based on recently published pivotal studies. The expanding evidence base in sepsis includes early goal‐directed therapy/clinical endpoints/sepsis bundles, antibiotics and source control, volume resuscitation, ICU considerations (including the use of insulin and corticosteroids), mortality/complications, and the newly recognized condition of “sepsis survivorship”. Journal of Hospital Medicine 2015;10:746–752. © 2015 Society of Hospital Medicine