외과중환자에서 중증 패혈증과 패혈성 쇼크에 대한 감염관리 전략

Abstract

Severe sepsis is the main cause of death in critically ill surgical patients. The mainstay of management of severe sepsis and septic shock includes eradication of infection with appropriate antibiotics and source control, and aggressive supportive care, such as fluid resuscitation, vasoactive agents or mechanical ventilation. This early goal-directed therapy is widely used. Crucial components of infection control strategy for septic shock patients are early recognition, appropriate use of antibiotics, and early effective drainage or surgical control of origins of infection. We briefly summarize the points of infection control strategy for septic shock patients.