Purcarea Adrian, Sovaila Silvia
Internist.ro Clinic, 63 Nicolae Bălcescu, 500019, Brasov, Romania.
Rom J Intern Med. 2020 Sep 1;58(3):129-137. doi: 10.2478/rjim-2020-0012.
Sepsis is an overwhelming reaction to infection that comes with high morbidity and mortality, which requires urgent interventions in order to improve outcomes. Surviving Sepsis is an international campaign that aims to improve sepsis outcomes. The 2016 guideline modifies the previous definition of sepsis and proposes some specific diagnostic and therapeutic measures, such as the protocolized use of fluid resuscitation and antibiotics. We aim to summarize the main recommendations of the 2016 guideline that are relevant to the internist and evidence-base update them to the year 2020. In the current context, this review doesn't address patients affected by SARS-COV2 induced disease.
脓毒症是对感染的一种严重反应，伴有高发病率和死亡率，需要紧急干预以改善预后。拯救脓毒症运动是一项旨在改善脓毒症预后的国际活动。2016年指南修改了先前的脓毒症定义，并提出了一些具体的诊断和治疗措施，如规范化使用液体复苏和抗生素。我们旨在总结2016年指南中与内科医生相关的主要建议，并将证据更新至2020年。在当前背景下，本综述不涉及受SARS-CoV-2所致疾病影响的患者。
