4.3 Review

A Standardized Step-by-Step Approach for the Diagnosis and Treatment of Sepsis

Journal

JOURNAL OF INTENSIVE CARE MEDICINE
Volume 37, Issue 10, Pages 1281-1287

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/08850666221085181

Keywords

sepsis; diagnosis; interventions; standardized step-by-step approach; critically ill patients

Funding

  1. Heilongjiang Postdoctoral Scientific Research Developmental Fund
  2. Scientific Research Project of Heilongjiang Health and Family Planning Commission
  3. National Natural Science Foundation of China
  4. Outstanding Youth Project of Heilongjiang Natural Science Foundation [LBH-19137, 2018086, 81902000, 81770276, JQ2012H002]

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Sepsis is the leading cause of death among critically ill patients in intensive care units, and while the mortality rate is decreasing, hospitalizations due to sepsis are on the rise. A standardized step-by-step approach for the diagnosis and treatment of sepsis is essential to assist clinicians in effectively managing this disease.
Sepsis is the major culprit of death among critically ill patients who are hospitalized in intensive care units (ICUs). Although sepsis-related mortality is steadily declining year-by-year due to the continuous understanding of the pathophysiological mechanism on sepsis and improvement of the bundle treatment, sepsis-associated hospitalization is rising worldwide. Surviving Sepsis Campaign (SSC) guidelines are continuously updating, while their content is extremely complex and comprehensive for a precisely implementation in clinical practice. As a consequence, a standardized step-by-step approach for the diagnosis and treatment of sepsis is particularly important. In the present study, we proposed a standardized step-by-step approach for the diagnosis and treatment of sepsis using our daily clinical experience and the latest researches, which is close to clinical practice and is easy to implement. The proposed approach may assist clinicians to more effectively diagnose and treat septic patients and avoid the emergence of adverse clinical outcomes.

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