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CE: Managing Sepsis and Septic Shock: Current Guidelines and Definitions.
Am J Nurs. 2018 Feb; 118(2):34-39.AJ

Abstract

: Sepsis is a leading cause of critical illness and hospital mortality. Early recognition and intervention are essential for the survival of patients with this syndrome. In 2002, the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM) launched the Surviving Sepsis Campaign (SSC) to reduce overall patient morbidity and mortality from sepsis and septic shock by driving practice initiatives based on current best evidence. The SSC guidelines have been updated every four years, with the most recent update completed in 2016. The new guidelines have increased the focus on early identification of infection, risks for sepsis and septic shock, rapid antibiotic administration, and aggressive fluid resuscitation to restore tissue perfusion.In 2014, the SCCM and the ESICM convened a task force of specialists to reexamine the definitions of terms used to identify patients along the sepsis continuum. In 2016, this task force published the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). The new definitions and recommendations included tools, based on an updated understanding of the pathobiology of sepsis, that can be used to predict adverse outcomes in patients with infection.This article discusses the new SSC treatment guidelines, changes in the sepsis bundle interventions, and the Sepsis-3 definitions and tools, all of which enable nurses to improve patient outcomes through timely collaborative action.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Makic MBF
Mary Beth Flynn Makic is a professor in the College of Nursing at the University of Colorado, Anschutz Medical Campus, Aurora. Elizabeth Bridges is a clinical nurse researcher at the University of Washington Medical Center, Seattle, and a professor in the University of Washington School of Nursing. Contact author: Mary Beth Flynn Makic, marybeth.makic@ucdenver.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Bridges E
No affiliation info available

MeSH

Anti-Bacterial AgentsCritical CareEarly DiagnosisFluid TherapyHumansPatient Care BundlesPractice Guidelines as TopicSepsisShock, SepticSocieties, Medical

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29329118

Citation

Makic, Mary Beth Flynn, and Elizabeth Bridges. "CE: Managing Sepsis and Septic Shock: Current Guidelines and Definitions." The American Journal of Nursing, vol. 118, no. 2, 2018, pp. 34-39.
Makic MBF, Bridges E. CE: Managing Sepsis and Septic Shock: Current Guidelines and Definitions. Am J Nurs. 2018;118(2):34-39.
Makic, M. B. F., & Bridges, E. (2018). CE: Managing Sepsis and Septic Shock: Current Guidelines and Definitions. The American Journal of Nursing, 118(2), 34-39. https://doi.org/10.1097/01.NAJ.0000530223.33211.f5
Makic MBF, Bridges E. CE: Managing Sepsis and Septic Shock: Current Guidelines and Definitions. Am J Nurs. 2018;118(2):34-39. PubMed PMID: 29329118.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - CE: Managing Sepsis and Septic Shock: Current Guidelines and Definitions. AU - Makic,Mary Beth Flynn, AU - Bridges,Elizabeth, PY - 2018/1/13/pubmed PY - 2018/2/9/medline PY - 2018/1/13/entrez SP - 34 EP - 39 JF - The American journal of nursing JO - Am J Nurs VL - 118 IS - 2 N2 - : Sepsis is a leading cause of critical illness and hospital mortality. Early recognition and intervention are essential for the survival of patients with this syndrome. In 2002, the Society of Critical Care Medicine (SCCM) and the European Society of Intensive Care Medicine (ESICM) launched the Surviving Sepsis Campaign (SSC) to reduce overall patient morbidity and mortality from sepsis and septic shock by driving practice initiatives based on current best evidence. The SSC guidelines have been updated every four years, with the most recent update completed in 2016. The new guidelines have increased the focus on early identification of infection, risks for sepsis and septic shock, rapid antibiotic administration, and aggressive fluid resuscitation to restore tissue perfusion.In 2014, the SCCM and the ESICM convened a task force of specialists to reexamine the definitions of terms used to identify patients along the sepsis continuum. In 2016, this task force published the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). The new definitions and recommendations included tools, based on an updated understanding of the pathobiology of sepsis, that can be used to predict adverse outcomes in patients with infection.This article discusses the new SSC treatment guidelines, changes in the sepsis bundle interventions, and the Sepsis-3 definitions and tools, all of which enable nurses to improve patient outcomes through timely collaborative action. SN - 1538-7488 UR - https://www.unboundmedicine.com/medline/citation/29329118/CE:_Managing_Sepsis_and_Septic_Shock:_Current_Guidelines_and_Definitions_ DB - PRIME DP - Unbound Medicine ER -