Sepsis dan Tata Laksana Berdasar Guideline Terbaru

*Irvan Irvan -  Departemen Anestesi dan Terapi Intensif, Fakultas Kedokteran, Universitas Kristen Krida Wacana Jakarta, Indonesia
Febyan Febyan -  Departemen Anestesi dan Terapi Intensif, Fakultas Kedokteran, Universitas Kristen Krida Wacana Jakarta, Indonesia
Suparto Suparto -  Departemen Anestesi dan Terapi Intensif, Fakultas Kedokteran, Universitas Kristen Krida Wacana Jakarta, Indonesia
Published: 1 Mar 2018.
Open Access
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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Article Info
Section: Tinjauan Pustaka
Language: ID
Full Text:
In Vol 10, No 1 (2018): Jurnal Anestesiologi Indonesia
Statistics: 679 13820
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