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Case management, severe sepsis and septic shock, utilization management

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https://www.readbyqxmd.com/read/25881250/successful-treatment-of-severe-sepsis-and-diarrhea-after-vagotomy-utilizing-fecal-microbiota-transplantation-a-case-report
#1
Qiurong Li, Chenyang Wang, Chun Tang, Qin He, Xiaofan Zhao, Ning Li, Jieshou Li
INTRODUCTION: Dysbiosis of intestinal microbiota likely plays an important role in the development of gut-derived infections, making it a potential therapeutic target against sepsis. However, experience with fecal microbiota transplantation (FMT) in the treatment of sepsis and knowledge of the underlying mechanisms are extremely lacking. In this article, we describe a case of a patient who developed sepsis after a vagotomy and later received an infusion of donor feces microbiota, and we report our findings...
2015: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/25777847/successful-treatment-of-severe-sepsis-and-diarrhea-after-vagotomy-utilizing-fecal-microbiota-transplantation-a-case-report
#2
Qiurong Li, Chenyang Wang, Chun Tang, Qin He, Xiaofan Zhao, Ning Li, Jieshou Li
INTRODUCTION: Dysbiosis of intestinal microbiota likely plays an important role in the development of gut-derived infections, making it a potential therapeutic target against sepsis. However, experience with fecal microbiota transplantation (FMT) in the treatment of sepsis and knowledge of the underlying mechanisms are extremely lacking. In this article, we describe a case of a patient who developed sepsis after a vagotomy and later received an infusion of donor feces microbiota, and we report our findings...
December 2015: Critical Care: the Official Journal of the Critical Care Forum
https://www.readbyqxmd.com/read/24283093/an-audit-of-diagnosis-and-treatment-of-sepsis-in-north-central-nigeria
#3
S E Isa, M O Iroezindu, S K Awang, G S Simji, K I Onyedibe, Mafuka, D Z Egah, D Crook
BACKGROUND: We audited the diagnosis and antibiotic therapy of patients admitted with sepsis in a resource-limited Nigerian hospital setting in order to improve the quality of sepsis care. METHOD: We conducted a retrospective analysis of the records of medical patients admitted for sepsis at the Jos University Teaching Hospital between September 2011 and August 2012. Data analysis included age, sex, appropriateness of sepsis diagnosis/severity, comorbidities, utility/yield of sample cultures, antibiotic therapy, duration of hospital stay and treatment outcome...
October 2013: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/23137959/pilot-study-comparing-sepsis-management-with-and-without-electronic-clinical-practice-guidelines-in-an-academic-emergency-department
#4
COMPARATIVE STUDY
Christopher M Bond, Dennis Djogovic, Cristina Villa-Roel, Michael J Bullard, David P Meurer, Brian H Rowe
BACKGROUND: Sepsis is a potentially life-threatening condition that requires urgent management in an Emergency Department (ED). Evidence-based guidelines for managing sepsis have been developed; however, their integration into routine practice is often incomplete. Care maps may help clinicians meet guideline targets more often. OBJECTIVES: To determine if electronic clinical practice guidelines (eCPGs) improve management of patients with severe sepsis and septic shock (SS/SS)...
March 2013: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/23082451/value-of-shock-index-in-prognosticating-the-short-term-outcome-of-death-for-patients-presenting-with-severe-sepsis-and-septic-shock-in-the-emergency-department
#5
Shah Jahan Mohd Yussof, Mohd Idzwan Zakaria, Fatahul Laham Mohamed, Mohamad Adam Bujang, Sharmila Lakshmanan, Abu Hassan Asaari
INTRODUCTION: The importance of early recognition and treatment of sepsis and its effects on short-term survival outcome have long been recognized. Having reliable indicators and markers that would help prognosticate the survival of these patients is invaluable and would subsequently assist in the course of effective dynamic triaging and goal directed management. STUDY OBJECTIVES: To determine the prognosticative value of Shock Index (SI), taken upon arrival to the emergency department and after 2 hours of resuscitation on the shortterm outcome of severe sepsis and septic shock patients...
August 2012: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/22633342/effect-of-bedside-ultrasonography-on-the-certainty-of-physician-clinical-decisionmaking-for-septic-patients-in-the-emergency-department
#6
Samir A Haydar, Eric T Moore, George L Higgins, Christine B Irish, William B Owens, Tania D Strout
STUDY OBJECTIVE: Sepsis protocols promote aggressive patient management, including invasive procedures. After the provision of point-of-care ultrasonographic markers of volume status and cardiac function, we seek to evaluate changes in emergency physician clinical decisionmaking and physician assessments about the clinical utility of the point-of-care ultrasonographic data when caring for adult sepsis patients. METHODS: For this prospective before-and-after study, patients with suspected sepsis received point-of-care ultrasonography to determine cardiac contractility, inferior vena cava diameter, and inferior vena cava collapsibility...
September 2012: Annals of Emergency Medicine
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