{"id":14421,"date":"2021-10-12T04:01:40","date_gmt":"2021-10-12T02:01:40","guid":{"rendered":"http:\/\/news-papers.eu\/?p=14421"},"modified":"2021-10-11T21:05:02","modified_gmt":"2021-10-11T19:05:02","slug":"surviving-sepsis-campaign-guideline-2021-teil-4","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=14421","title":{"rendered":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 4"},"content":{"rendered":"<p style=\"text-align: justify\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"14444\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=14444\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?fit=1332%2C1358&amp;ssl=1\" data-orig-size=\"1332,1358\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Bildschirmfoto 2021-10-04 um 21.43.15\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?fit=294%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?fit=1004%2C1024&amp;ssl=1\" class=\" wp-image-14444 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=210%2C214\" alt=\"Sepsis\" width=\"210\" height=\"214\" srcset=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=294%2C300&amp;ssl=1 294w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=1004%2C1024&amp;ssl=1 1004w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=768%2C783&amp;ssl=1 768w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?resize=750%2C765&amp;ssl=1 750w, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.43.15.png?w=1332&amp;ssl=1 1332w\" sizes=\"auto, (max-width: 210px) 100vw, 210px\" \/>Nun zu <strong>Teil 4<\/strong> der\u00a0<strong>Surviving Sepsis Campaign Guideline 2021<\/strong> ist am 02.10.2021 publiziert worden:<\/p>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<blockquote>\n<p style=\"text-align: justify\"><strong>Evans L, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). (<a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00134-021-06506-y.pdf\" target=\"_blank\" rel=\"noopener\">PDF<\/a>)<\/strong><\/p>\n<\/blockquote>\n<p>Hier ganz frisch <strong>einige Empfehlungen<\/strong> (Cave: Freie \u00dcbersetzung: Korrekturen vorbehalten):<\/p>\n<\/div>\n<p><strong>Kernaussage 25:<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify\">Bei Erwachsenen mit Sepsis oder septischem Schock empfehlen wir <strong>eine verl\u00e4ngerte Infusion von Beta-Lactamen zur Aufrechterhaltung (nach einem anf\u00e4nglichen Bolus)<\/strong> gegen\u00fcber einer herk\u00f6mmlichen Bolusinfusion.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 26:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>F\u00fcr Erwachsene mit Sepsis oder septischem Schock wird empfohlen, die <strong>Dosierungsstrategien f\u00fcr antimikrobielle Mittel auf der Grundlage anerkannter pharmakokinetischer\/pharmakodynamischer (PK\/PD) Prinzipien und spezifischer Arzneimitteleigenschaften<\/strong> zu optimieren.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 27:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock wird empfohlen, eine spezifische <strong>anatomische Infektionsdiagnose<\/strong>, die eine sofortige Bek\u00e4mpfung der Infektionsquelle erfordert, <strong>rasch zu identifizieren<\/strong> oder auszuschlie\u00dfen und <strong>alle erforderlichen Ma\u00dfnahmen zur Bek\u00e4mpfung der Infektionsquelle<\/strong> so schnell wie medizinisch und logistisch m\u00f6glich durchzuf\u00fchren.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 28:\u00a0<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock wird empfohlen, <strong>intravaskul\u00e4re Zugangsvorrichtungen, die eine m\u00f6gliche Ursache f\u00fcr Sepsis oder septischen Schock darstellen, umgehend zu entfernen<\/strong>, nachdem ein anderer Gef\u00e4\u00dfzugang gelegt wurde.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 29:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit Sepsis oder septischem Schock empfehlen wir eine <strong>t\u00e4gliche Bewertung f\u00fcr die Deeskalation von antimikrobiellen Mitteln<\/strong> gegen\u00fcber der Verwendung fester Therapiedauern ohne t\u00e4gliche Neubewertung f\u00fcr die Deeskalation.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 30:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Bei Erwachsenen mit der Erstdiagnose einer Sepsis oder eines septischen Schocks und ad\u00e4quater Quellenkontrolle empfehlen wir eine k<strong>\u00fcrzere statt einer l\u00e4ngeren Dauer der antimikrobiellen Therapie<\/strong>.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong>Kernaussage 31:\u00a0<\/strong><\/p>\n<ul>\n<li style=\"text-align: justify\">Bei Erwachsenen mit der Erstdiagnose einer Sepsis oder eines septischen Schocks und ad\u00e4quater Quellenkontrolle, bei denen die optimale Therapiedauer unklar ist, schlagen wir vor, <strong>Procalcitonin UND die klinische Bewertung heranzuziehen<\/strong>, um zu entscheiden, wann die antimikrobiellen Mittel abgesetzt werden sollen, und nicht nur die klinische Bewertung.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Nun zu Teil 4 der\u00a0Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":14441,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[57],"tags":[67,2175],"class_list":["post-14421","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sepsis","tag-sepsis","tag-surviving-sepsis-campaign-guideline-2021"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2021\/10\/Bildschirmfoto-2021-10-04-um-21.41.56.png?fit=1346%2C1288&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-3KB","jetpack-related-posts":[{"id":14419,"url":"https:\/\/news-papers.eu\/?p=14419","url_meta":{"origin":14421,"position":0},"title":"Surviving Sepsis Campaign Guideline 2021 &#8211; Teil 3","author":"Michael Bernhard","date":"Oktober 10, 2021","format":false,"excerpt":"Nun zu Teil 3 der\u00a0Surviving Sepsis Campaign Guideline 2021 ist am 02.10.2021 publiziert worden: Evans L, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). 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Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). 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Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). 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Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. This article is co\u2010published in the journals Intensive Care Medicine (https:\/\/doi.org\/10.1007\/s00134\u2010021\u201006506\u2010y) and Critical Care Medicine (https:\/\/doi.org\/10.1097\/CCM.0000000000005337). 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