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Serbian Journal of Anesthesia and Intensive Therapy
2017, vol. 39, br. 7-8, str. 171-180
Novine u dijagnostici i lečenju sepse i septičnog šoka (Novine u lečenju sepse)
Bumbaširević Vesnaa, Veličković Jelenaa ORCID, Palibrk Ivana, Jovanović Bojana, Avramović Jovanab
aUniverzitet u Beogradu, Medicinski fakultet + Klinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd
bKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd

e-adresa: lelavelickovic@gmail.com
Ključne reči: sepsa; septični šok; hitno stanje; Surviving Sepsis Campaign; preporuke
Sažetak
Sepsa je stanje koje ugrožava život i nastaje zbog neodgovarajuće odbrane organizma od infekcije. Sepsa i septični šok su veliki zdravstveni problemi, pogađaju milione ljudi širom sveta svake godine, a dovode do smrtnog ishoda kod svakog četvrtog obolelog (pa i češće). Uprkos razvoju moderne medicine, incidenca sepse je u velikom porastu, lečenje je skupo, a smrtnost velika. Rana indentifikacija i adekvatne terapijske mere u prvim satima od nastanka sepse su od vitalnog značaja za pacijenta. Zato je sepsa proglašena za hitno medicinsko stanje, 1. oktobra 2011, pored infarkta miokarda, moždanog udara i politraume. Uprkos velikom značaju u ranom prepoznavanju, sepsa često ostaje nedovoljno razumljiv i neprepoznat problem. Osim toga, osnovne manifestacije sepse dodatno otežavaju postavljanje dijagnoze. Brojne kliničke studije, rađene poslednjih godina, omogućile su kreiranje najnovijih preporuka od strane radne grupe Surviving Sepsis Campaign 2016. godine, sa dopunama i izmenama u odnosu na prethodne iz 2012. Preporuke se odnose na lečenje sepse i septičnog šoka odraslih pacijenata u bolničkim uslovima. I pored toga, individualna procena kliničara u pojedinim situacijama ostaje primarna. Od izuzetne važnosti je pravovremeno sprovođenje niza postupaka u početnoj fazi ove vremenski zavisne bolesti.
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O članku

jezik rada: srpski
vrsta rada: pregledni članak
DOI: 10.5937/sjait1708171B
objavljen u SCIndeksu: 21.03.2018.
Creative Commons License 4.0

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