{"title":"[SEPSIS IN SURGICAL PATIENT].","authors":"D Guštin","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Epidemiological studies indicate a large incidence of sepsis in the general population. Despite advances in surgery, surgical\npatients with sepsis make almost one-third of all cases of sepsis. Sepsis is the leading cause of morbidity and mortality among\nsurgical patients, with intra-abdominal infection as the main source of sepsis. According to some authors, sepsis in surgical\npatients is different from those in non-surgical patients because of the immune function modulation that occurs as a result of\nsurgery and anesthesia applied; therefore, these two groups should be monitored separately. In the treatment of sepsis, the key\nsteps are early recognition of sepsis, rapid diagnosis, and aggressive treatment that includes the choice of intervention with the\nleast physiological insult to control the sources of infection. Emphasis should be placed on the prevention of sepsis throughout\nthe perioperative period. In surgical septic patients, treatment is complex and requires a multidisciplinary approach.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Medica Croatica","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Epidemiological studies indicate a large incidence of sepsis in the general population. Despite advances in surgery, surgical
patients with sepsis make almost one-third of all cases of sepsis. Sepsis is the leading cause of morbidity and mortality among
surgical patients, with intra-abdominal infection as the main source of sepsis. According to some authors, sepsis in surgical
patients is different from those in non-surgical patients because of the immune function modulation that occurs as a result of
surgery and anesthesia applied; therefore, these two groups should be monitored separately. In the treatment of sepsis, the key
steps are early recognition of sepsis, rapid diagnosis, and aggressive treatment that includes the choice of intervention with the
least physiological insult to control the sources of infection. Emphasis should be placed on the prevention of sepsis throughout
the perioperative period. In surgical septic patients, treatment is complex and requires a multidisciplinary approach.
期刊介绍:
ACTA MEDICA CROATICA publishes original contributions to medical sciences, that have not been previously published. All manuscripts should be written in English.