[Update on current care guidelines. Treatment of severe sepsis in adults].
According to the Finnsepsis Study, the incidence in Finland of severe sepsis requiring intensive care was 0.38/1,000 inhabitants/year. ICU and hospital mortality was 15.5% and 28.3%, respectively. The Finnsepsis Study showed that compliance with protocols was rather poor and antimicrobial treatment was often delayed. These guidelines emphasize the importance of prompt antibiotic and fluid therapy. In shock, norepinephrine is the first line vasopressor. Low-dose hydrocortisone may be used to shorten the need for vasopressors. Activated protein C should be considered in selected patients. The blood glucose target recommendation is between 5 and 8 mmol/l.
Ruokonen
Esko
E
Hovilehto
Seppo
S
Loisa
Pekka
P
Perttilä
Juha
J
Pettilä
Ville
V
Puurunen
Marja
M
Rintala
Esa
E
Uusaro
Ari
A
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005387:Finland; D017052:Hospital Mortality; D006801:Humans; D009638:Norepinephrine / Q000627:therapeutic use; D018805:Sepsis / Q000175:diagnosis / Q000188:drug therapy* / Q000401:mortality; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D014662:Vasoconstrictor Agents; D009638:Norepinephrine