Open AccessManagement of sepsis: from evidence to clinical practice
Author(s) -
Riccardo Gerloni,
Luciano Mucci,
Carlotta Casati,
Andrea Crociani,
Ombretta Para,
Elisabetta Benetti,
Paola Gnerre,
Anna Bovero,
Elisa Romagnoli,
Nicola Tarquinio,
Clelia Canale,
Davide Brancato,
Laura Massarelli,
Salvatora Piras
Publication year - 2016
Publication title -
italian journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.134
H-Index - 10
eISSN - 1877-9352
pISSN - 1877-9344
DOI - 10.4081/itjm.2016.796
Subject(s) - medicine , intensive care medicine , sepsis , antibiotic therapy , competence (human resources) , antibiotics , surgery , management , microbiology and biotechnology , economics , biology
Sepsis is one of the leading causes of death in hospitalized patients and its management involves a lot of specialist. Internist is required to demonstrate his competence since the beginning when the diagnosis is not so easy to be clarified. A rapid clinical suspicion permits a prompt management of the patient that means important mortality reduction. However, it is essential to understand the source of infection and echography represents a rapid, economic, useful and widespread tool with whom Internist should become more and more confident. The following review is a practical guide to manage septic patients according to the most recent literature, underlining aspects of antibiotic therapy, hemodynamic stabilization and supportive therapy. To limit sepsis mortality, a valid Internist should be culturally prepared and especially able to cooperate with other specialists, because a strong enemy requires a strong team