title: Sepsis: An update in management.
abstract: Hospitalists are a critical link in providing evidence-based care for patients with sepsis across the disease spectrum, from early recognition to recovery. The past decade of sepsis research has led to significant findings that will change clinical practice for hospital medicine practitioners. Although the incidence of severe sepsis in the United States has continued to rise, in-hospital mortality has declined. Management of the spectrum of sepsis disorders is no longer restricted to the intensive care unit (ICU). This review article will provide an update in the management of sepsis for hospitalists based on recently published pivotal studies. The expanding evidence base in sepsis includes early goal-directed therapy/clinical endpoints/sepsis bundles, antibiotics and source control, volume resuscitation, ICU considerations (including the use of insulin and corticosteroids), mortality/complications, and the newly recognized condition of "sepsis survivorship".
authors.affiliation: Department of Medicine, Division of Hospital Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
authors.forename: Benjamin T
authors.initials: BT
authors.lastname: Galen
authors.affiliation: Department of Internal Medicine, Section of General Internal Medicine, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, Connecticut.
authors.forename: Christopher
authors.initials: C
authors.lastname: Sankey
mesh_terms: D019468:Disease Management; D019317:Evidence-Based Medicine; D020445:Hospitalists; D006801:Humans; D007362:Intensive Care Units; D018805:Sepsis / Q000401:mortality / Q000628:therapy*; D012720:Severity of Illness Index; D014481:United States