title: [Current standards of care in the management of patients with abdominal sepsis].
abstract: BACKGROUND
  Abdominal sepsis patient management is an issue of high current importance, and the amount of knowledge keeps increasing and changing the approach to critically ill patients with abdominal sepsis.
  
  
  METHODS
  Literature search (in MEDLINE, PubMed and Google Scholar databases) was done, focused on identification of relevant studies. The aim of this paper is to provide a review of current trends in diagnosing and predicting the prognosis of, and recommended treatment standards for patients with abdominal sepsis.
  
  
  RESULTS
  Abdominal sepsis is defined as the Systemic Inflammatory Response Syndrome (SIRS) with an abdominal infection requiring a surgical intervention to control the source; or SIRS with an infection within 14 days after any major surgery. Although many different monitoring and scoring systems exist, daily careful clinical examination is the most reliable diagnostic tool in identification of septic patients. Whenever abdominal sepsis is suspected, the gold standard comprises immediate administration of broad-spectrum antibiotics, transferring the patient to the intensive care unit, with surgical intervention and supportive intensive care based on current guidelines of the Surviving Sepsis Campaign. Source control surgery is the principal therapeutic modality for patients with abdominal sepsis. The most relevant negative prognostic factors include clinical signs of septic shock and the necessity of high doses of catecholamines.
  
  
  CONCLUSIONS
  Early identification of septic patients and prompt implementation of a complex, evidence-based interdisciplinary approach are the principal conditions for improving healthcare outcomes of care provided to patients with abdominal sepsis.
authors.forename: P
authors.initials: P
authors.lastname: Ihnát
authors.forename: M
authors.initials: M
authors.lastname: Peteja
authors.forename: P
authors.initials: P
authors.lastname: Vávra
authors.forename: L
authors.initials: L
authors.lastname: Tulinský
authors.forename: P
authors.initials: P
authors.lastname: Zonča
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D016638:Critical Illness; D006801:Humans; D007362:Intensive Care Units; D059413:Intraabdominal Infections / Q000628:therapy*; D011379:Prognosis; D018805:Sepsis / Q000628:therapy*; D012772:Shock, Septic / Q000628:therapy; D059039:Standard of Care
chemical_list: D000900:Anti-Bacterial Agents