Management of sepsis: from evidence to clinical practice
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Riccardo Gerloni
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riccardogerloni@libero.it
Department of Internal Medicine, Cattinara Hospital, Trieste, Italy.
- Luciano Mucci Department of Internal Medicine, Ospedali Riuniti Marche Nord, Fano (PU), Italy.
- Carlotta Casati Department of Internal Medicine, Careggi Hospital, Firenze, Italy.
- Andrea Crociani Department of Internal Medicine, Careggi Hospital, Firenze, Italy.
- Ombretta Para Department of Internal Medicine, Careggi Hospital, Firenze, Italy.
- Elisabetta Benetti Emergency Department, San Bassiano Hospital, Bassano del Grappa (VI), Italy.
- Paola Gnerre Department of Internal Medicine, San Paolo Hospital, Savona, Italy.
- Anna Bovero Department of Internal Medicine, Santa Corona Hospital, Pietra Ligure (SV), Italy.
- Elisa Romagnoli Department of Internal Medicine, Paulo nel Frignano Hospital, Modena, Italy.
- Nicola Tarquinio Department of Internal Medicine, S.S. Benvenuto e Rocco Hospital, Osimo (AN), Italy.
- Clelia Canale Department of Internal Medicine, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
- Davide Brancato Department of Internal Medicine, Ospedale Civico, Partinico (PA), Italy.
- Laura Massarelli Department of Internal Medicine, C. Massaia Hospital, Asti, Italy.
- Salvatora Piras Department of Internal Medicine, ASL 1 Sassari, Alghero (SS), Italy.
Abstract
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.Downloads
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Copyright (c) 2016 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
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
