Sepsis: frontiers in diagnosis, resuscitation and antibiotic therapy

Anders Perner, Anthony C. Gordon, Daniel De Backer, George Dimopoulos, James A. Russell, Jeffrey Lipman, Jens-Ulrik Jensen, John Myburgh, Mervyn Singer, Rinaldo Bellomo, Timothy Walsh

Research output: Contribution to journalReview ArticleResearchpeer-review

44 Citations (Scopus)

Abstract

Sepsis is a major growing global burden and a major challenge to intensive care clinicians, researchers, guideline committee members and policy makers, because of its high and increasing incidence and great pathophysiological, molecular, genetic and clinical complexity. In spite of recent progress, short-term mortality remains high and there is growing evidence of long-term morbidity and increased long-term mortality in survivors of sepsis both in developed and developing countries. Further improvement in the care of patients with sepsis will impact upon global health. In this narrative review, invited experts describe the expected challenges and progress to be made in the near future. We focus on diagnosis, resuscitation (fluids, vasopressors, inotropes, blood transfusion and hemodynamic targets) and infection (antibiotics and infection biomarkers), as these areas are key, if initial management and subsequent outcomes are to be improved in patients with sepsis.

Original languageEnglish
Pages (from-to)1958-1969
Number of pages12
JournalIntensive Care Medicine
Volume42
Issue number12
DOIs
Publication statusPublished - Dec 2016
Externally publishedYes

Keywords

  • Antibiotic
  • Critical care
  • Intensive care
  • Sepsis
  • Shock

Cite this

Perner, A., Gordon, A. C., De Backer, D., Dimopoulos, G., Russell, J. A., Lipman, J., Jensen, J-U., Myburgh, J., Singer, M., Bellomo, R., & Walsh, T. (2016). Sepsis: frontiers in diagnosis, resuscitation and antibiotic therapy. Intensive Care Medicine, 42(12), 1958-1969. https://doi.org/10.1007/s00134-016-4577-z