GuidelinesOther guideline
Surviving Sepsis in Surgery (Acute Care Surgery Guidelines)
Surgical Emergencies - Surviving Sepsis in Surgery (Acute Care Surgery Guidelines)
| Infection No Systemic involvement | Treat with appropriate Antibiotics Surgery as indicated Doesn’t necessarily need admission –only immune compromised patients |
| Example: abscess, cellulitis | |
| Infection (documented or suspected) with SIRS = sepsis Diabetics with infection without SIRS | Appropriate antibiotics Drain sepsis- surgery or radiological semi urgently D/W consultant as necessary Consider monitoring organ function – urine output, blood gas, BP, P |
| Example: early appendicitis, acute cholecystitis, mild cholangitis | |
| Severe sepsis (infection suspected or documented) Includes sepsis with organ dysfunction | Resuscitation Appropriate Antibiotics Urgent surgical or radiological intervention as indicated Must D/W consultant Monitor urine output, 2 hourly blood gas until stabilised Continuous observation –BP q 10 ins, continuous ECG, P, saturation Hourly checks by registrar until stabilised If worsening – ICU referral |
| Example: early appendicitis, acute cholecystitis, mild cholangitis | |
| Septic shock | Resuscitation Organ support Appropriate antibiotics Emergency surgical or radiological intervention Consultant must be involved ICU referral |
| Example: moderate cholangitis, intra-abdominal sepsis | |