2017, Number 3
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Med Int Mex 2017; 33 (3)
Septic shock. What we knew and what we should know…
Gómez-Gómez B, Sánchez-Luna JP, Pérez-Beltrán CF, Díaz-Greene EJ, Rodríguez-Weber FL
Language: Spanish
References: 28
Page: 381-391
PDF size: 387.66 Kb.
ABSTRACT
Globally, the prevalence of sepsis is more than 19 million cases per year with an estimated mortality of 30%. The most frequently identified risk factors are chronic diseases (HIV-AIDS, COPD and neoplasms) and the use of immunosuppressive agents. The most susceptible population to develop these complications are the ones in babyhood or the elderly. Among the multiple pathogens, bacteria are considered the microorganisms primarily involved in the development of severe sepsis. Within the foci of infection, pneumonia is considered to be the most common, followed by intra-abdominal infections, urinary tract and primary bloodstream infections. It has been demonstrated that early treatment significantly improves survival. Interventions to be performed include antimicrobial therapy, fluid resuscitation, ventilatory support and supportive measures (antithrombotic prophylaxis, glycemic control and prophylaxis to prevent stress gastric ulcers and nutrition).
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