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A new definition of sepsis (Sepsis-3) – aims, advantages, and controversies


Authors: J. Máca 1,2;  P. Sklienka 1,2;  P. Reimer 1;  M. Holub 3
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Ostrava-Poruba 1;  Katedra intenzivní medicíny a forenzních oborů, Lékařská fakulta, Ostravská univerzita v Ostravě 2;  Klinika infekčních nemocí 1. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice – Vojenské fakultní nemocnice 3
Published in: Epidemiol. Mikrobiol. Imunol. 67, 2018, č. 1, s. 36-43
Category: Review Article

Overview

Sepsis is a life-threatening condition caused by a dysregulated host response to infection. Over the last decades, the approach to sepsis is evolving dramatically, mainly as a result of a rapid increase in the knowledge of its epidemiology, physiopathology, and management. In this context, the new international criteria and definition for sepsis, The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), were introduced in 2016. The criteria were established consensually by the Task Force which consisted of experts from the Society of Critical Care Medicine and the European Society of Intensive Care Medicine. The main goal is the expansion of awareness of the professional public about this medical condition with a high fatality rate, particularly when not diagnosed and treated early. Sepsis-3 should also serve as a benchmark for future preclinical and clinical research, development of new diagnostic methods, and the terapy of patients with sepsis and septic shock.

Keywords:
sepsis – septic shock – organ dysfunction – definition – criteria


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