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Sepsis dan Tata Laksana Berdasar Guideline Terbaru

Departemen Anestesi dan Terapi Intensif; Fakultas Kedokteran; Universitas Kristen Krida Wacana; Jakarta, Indonesia

Published: 1 Mar 2018.
Open Access Copyright 2018 JAI (Jurnal Anestesiologi Indonesia)

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Abstract

Istilah Sepsis menurut konsensus terbaru adalah keadaan disfungsi organ yang mengancam jiwa yang disebabkan karena disregulasi respon tubuh terhadap infeksi. Penggunaan kriteria SIRS untuk mengidentifikasi sepsis dianggap tidak membantu lagi. Kriteria SIRS tidak menggambarkan adanya respon disregulasi yang mengancam jiwa. Disfungsi organ didiagnosis apabila peningkatan skor SOFA ≥ 2. Dan istilah sepsis berat sudah tidak digunakan. Septik syok didefinisikan sebagai keadaan sepsis dimana abnormalitas sirkulasi dan metabolik yang terjadi dapat menyebabkan kematian secara signifikan. Dalam protokol yang dikeluarkan pada tahun 2016, target resusitasi EGDT dihilangkan, dan merekomendasikan terapi cairan kristaloid minimal sebesar 30 ml/kgBB dalam 3 jam atau kurang.

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Keywords: sepsis; SIRS; septik syok

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Last update: 2024-10-15 23:11:44

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