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Medicina Interna
versão impressa ISSN 0872-671X
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CARNEIRO, António H.. Sepsís: Back on Track. Medicina Interna [online]. 2022, vol.29, n.2, pp.74-80. Epub 01-Set-2022. ISSN 0872-671X. https://doi.org/10.24950/rspmi.364.
Sepsis prevalence is increasing worldwide, but its management is challenging because it has no specific diagnostic criteria or surrogate markers, Definitions have been changing and Sepsis 3 is part of this confusion: because instead of 1 has proposed 2 different criteria (qSOFA and SOFA), depending on place where the patient is evaluated, with different descriptors for the sarne parameter. S3 ignored the SIRS' concept and has centered their criteria in the recognition of the most severe patients with higher mortality, instead of focusing early recognition.
The Surviving Sepsis Campaign 2021 Recommendations, rescan good clinical sense, refuse qSOFA, recognized the importance of SIRS, early recognition and clinical-centered evaluation and treatment strategies. lt is the territory of choice of lnternists either in outpatient clinic or emergency departments and wards This text intends to review the components of the RSSC 2021 that benefit from the intervention of the lnternists and General and General Partitioners based on interventions that effectively save lives in sepsis.
Palavras-chave : Sepsisldiagnosis; Sepsisltherapy..