Egi Moritoki, Ogura Hiroshi, Yatabe Tomoaki, Atagi Kazuaki, Inoue Shigeaki, Iba Toshiaki, Kakihana Yasuyuki, Kawasaki Tatsuya, Kushimoto Shigeki, Kuroda Yasuhiro, Kotani Joji, Shime Nobuaki, Taniguchi Takumi, Tsuruta Ryosuke, Doi Kent, Doi Matsuyuki, Nakada Taka-Aki, Nakane Masaki, Fujishima Seitaro, Hosokawa Naoto, Masuda Yoshiki, Matsushima Asako, Matsuda Naoyuki, Yamakawa Kazuma, Hara Yoshitaka, Sakuraya Masaaki, Ohshimo Shinichiro, Aoki Yoshitaka, Inada Mai, Umemura Yutaka, Kawai Yusuke, Kondo Yutaka, Saito Hiroki, Taito Shunsuke, Takeda Chikashi, Terayama Takero, Tohira Hideo, Hashimoto Hideki, Hayashida Kei, Hifumi Toru, Hirose Tomoya, Fukuda Tatsuma, Fujii Tomoko, Miura Shinya, Yasuda Hideto, Abe Toshikazu, Andoh Kohkichi, Iida Yuki, Ishihara Tadashi, Ide Kentaro, Ito Kenta, Ito Yusuke, Inata Yu, Utsunomiya Akemi, Unoki Takeshi, Endo Koji, Ouchi Akira, Ozaki Masayuki, Ono Satoshi, Katsura Morihiro, Kawaguchi Atsushi, Kawamura Yusuke, Kudo Daisuke, Kubo Kenji, Kurahashi Kiyoyasu, Sakuramoto Hideaki, Shimoyama Akira, Suzuki Takeshi, Sekine Shusuke, Sekino Motohiro, Takahashi Nozomi, Takahashi Sei, Takahashi Hiroshi, Tagami Takashi, Tajima Goro, Tatsumi Hiroomi, Tani Masanori, Tsuchiya Asuka, Tsutsumi Yusuke, Naito Takaki, Nagae Masaharu, Nagasawa Ichiro, Nakamura Kensuke, Nishimura Tetsuro, Nunomiya Shin, Norisue Yasuhiro, Hashimoto Satoru, Hasegawa Daisuke, Hatakeyama Junji, Hara Naoki, Higashibeppu Naoki, Furushima Nana, Furusono Hirotaka, Matsuishi Yujiro, Matsuyama Tasuku, Minematsu Yusuke, Miyashita Ryoichi, Miyatake Yuji, Moriyasu Megumi, Yamada Toru, Yamada Hiroyuki, Yamamoto Ryo, Yoshida Takeshi, Yoshida Yuhei, Yoshimura Jumpei, Yotsumoto Ryuichi, Yonekura Hiroshi, Wada Takeshi, Watanabe Eizo, Aoki Makoto, Asai Hideki, Abe Takakuni, Igarashi Yutaka, Iguchi Naoya, Ishikawa Masami, Ishimaru Go, Isokawa Shutaro, Itakura Ryuta, Imahase Hisashi, Imura Haruki, Irinoda Takashi, Uehara Kenji, Ushio Noritaka, Umegaki Takeshi, Egawa Yuko, Enomoto Yuki, Ota Kohei, Ohchi Yoshifumi, Ohno Takanori, Ohbe Hiroyuki, Oka Kazuyuki, Okada Nobunaga, Okada Yohei, Okano Hiromu, Okamoto Jun, Okuda Hiroshi, Ogura Takayuki, Onodera Yu, Oyama Yuhta, Kainuma Motoshi, Kako Eisuke, Kashiura Masahiro, Kato Hiromi, Kanaya Akihiro, Kaneko Tadashi, Kanehata Keita, Kano Ken-Ichi, Kawano Hiroyuki, Kikutani Kazuya, Kikuchi Hitoshi, Kido Takahiro, Kimura Sho, Koami Hiroyuki, Kobashi Daisuke, Saiki Iwao, Sakai Masahito, Sakamoto Ayaka, Sato Tetsuya, Shiga Yasuhiro, Shimoto Manabu, Shimoyama Shinya, Shoko Tomohisa, Sugawara Yoh, Sugita Atsunori, Suzuki Satoshi, Suzuki Yuji, Suhara Tomohiro, Sonota Kenji, Takauji Shuhei, Takashima Kohei, Takahashi Sho, Takahashi Yoko, Takeshita Jun, Tanaka Yuuki, Tampo Akihito, Tsunoyama Taichiro, Tetsuhara Kenichi, Tokunaga Kentaro, Tomioka Yoshihiro, Tomita Kentaro, Tominaga Naoki, Toyosaki Mitsunobu, Toyoda Yukitoshi, Naito Hiromichi, Nagata Isao, Nagato Tadashi, Nakamura Yoshimi, Nakamori Yuki, Nahara Isao, Naraba Hiromu, Narita Chihiro, Nishioka Norihiro, Nishimura Tomoya, Nishiyama Kei, Nomura Tomohisa, Haga Taiki, Hagiwara Yoshihiro, Hashimoto Katsuhiko, Hatachi Takeshi, Hamasaki Toshiaki, Hayashi Takuya, Hayashi Minoru, Hayamizu Atsuki, Haraguchi Go, Hirano Yohei, Fujii Ryo, Fujita Motoki, Fujimura Naoyuki, Funakoshi Hiraku, Horiguchi Masahito, Maki Jun, Masunaga Naohisa, Matsumura Yosuke, Mayumi Takuya, Minami Keisuke, Miyazaki Yuya, Miyamoto Kazuyuki, Murata Teppei, Yanai Machi, Yano Takao, Yamada Kohei, Yamada Naoki, Yamamoto Tomonori, Yoshihiro Shodai, Tanaka Hiroshi, Nishida Osamu
Division of Anesthesiology Department of Surgery Related Kobe University Graduate School of Medicine Kobe Japan.
Department of Traumatology and Acute Critical Medicine Osaka University Medical School Suita Japan.
Acute Med Surg. 2021 Aug 26;8(1):e659. doi: 10.1002/ams2.659. eCollection 2021 Jan-Dec.
The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020), a Japanese-specific set of clinical practice guidelines for sepsis and septic shock created as revised from J-SSCG 2016 jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in September 2020 and published in February 2021. An English-language version of these guidelines was created based on the contents of the original Japanese-language version. The purpose of this guideline is to assist medical staff in making appropriate decisions to improve the prognosis of patients undergoing treatment for sepsis and septic shock. We aimed to provide high-quality guidelines that are easy to use and understand for specialists, general clinicians, and multidisciplinary medical professionals. J-SSCG 2016 took up new subjects that were not present in SSCG 2016 (e.g., ICU-acquired weakness [ICU-AW], post-intensive care syndrome [PICS], and body temperature management). The J-SSCG 2020 covered a total of 22 areas with four additional new areas (patient- and family-centered care, sepsis treatment system, neuro-intensive treatment, and stress ulcers). A total of 118 important clinical issues (clinical questions, CQs) were extracted regardless of the presence or absence of evidence. These CQs also include those that have been given particular focus within Japan. This is a large-scale guideline covering multiple fields; thus, in addition to the 25 committee members, we had the participation and support of a total of 226 members who are professionals (physicians, nurses, physiotherapists, clinical engineers, and pharmacists) and medical workers with a history of sepsis or critical illness. The GRADE method was adopted for making recommendations, and the modified Delphi method was used to determine recommendations by voting from all committee members. As a result, 79 GRADE-based recommendations, 5 Good Practice Statements (GPS), 18 expert consensuses, 27 answers to background questions (BQs), and summaries of definitions and diagnosis of sepsis were created as responses to 118 CQs. We also incorporated visual information for each CQ according to the time course of treatment, and we will also distribute this as an app. The J-SSCG 2020 is expected to be widely used as a useful bedside guideline in the field of sepsis treatment both in Japan and overseas involving multiple disciplines.
《2020年日本脓毒症及脓毒性休克管理临床实践指南》（J-SSCG 2020）是由日本重症医学会和日本急性医学协会联合在《2016年日本脓毒症及脓毒性休克管理临床实践指南》（J-SSCG 2016）基础上修订而成的一套针对日本国情的脓毒症及脓毒性休克临床实践指南，于2020年9月首次发布，并于2021年2月出版。这些指南的英文版本是根据日文原版内容编写的。本指南的目的是协助医务人员做出适当决策，以改善脓毒症和脓毒性休克患者的治疗预后。我们旨在为专科医生、普通临床医生和多学科医疗专业人员提供易于使用和理解的高质量指南。J-SSCG 2016纳入了《2016年拯救脓毒症运动（SSCG 2016）》中未提及的新主题（如重症监护病房获得性肌无力[ICU-AW]、重症监护后综合征[PICS]和体温管理）。J-SSCG 2020总共涵盖22个领域，新增了4个领域（以患者和家庭为中心的护理、脓毒症治疗系统、神经重症治疗和应激性溃疡）。无论有无证据，共提取了118个重要临床问题（临床问题，CQs）。这些CQs还包括在日本特别关注的问题。这是一个涵盖多个领域的大规模指南；因此，除了25名委员会成员外，我们还得到了总共226名成员的参与和支持，这些成员包括专业人员（医生、护士、物理治疗师、临床工程师和药剂师）以及有脓毒症或危重病病史的医务人员。推荐采用GRADE方法，并采用改良德尔菲法通过全体委员会成员投票来确定推荐意见。结果，针对118个CQs，制定了79条基于GRADE的推荐意见、5条良好实践声明（GPS）、18条专家共识、27条背景问题（BQs）答案以及脓毒症的定义和诊断总结。我们还根据治疗时间进程为每个CQ纳入了视觉信息，并将以应用程序的形式发布。预计J-SSCG 2020将在日本和海外多学科的脓毒症治疗领域作为有用的床边指南被广泛使用。
