Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine

Sepsis and septic shock in the tropics are caused by a wide array of organisms. These infections are encountered mainly in low and middle-income countries (LMIC) where a lack of infrastructure and medical facilities contribute to the high morbidity and mortality. Published sepsis guidelines are ba...

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Main Authors: McGloughlin, Steve, Richards, Guy A., Mat Nor, Mohd Basri, Prayag, Shirish, Baker, Tim, Amin, Pravin R.
Format: Article
Language:English
English
Published: Elsevier 2018
Subjects:
Online Access:http://irep.iium.edu.my/61679/
http://irep.iium.edu.my/61679/13/61679_Sepsis%20in%20tropical%20regions.pdf
http://irep.iium.edu.my/61679/19/61679_Sepsis%20in%20tropical%20regions_SCOPUS.pdf
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author McGloughlin, Steve
Richards, Guy A.
Mat Nor, Mohd Basri
Prayag, Shirish
Baker, Tim
Amin, Pravin R.
author_facet McGloughlin, Steve
Richards, Guy A.
Mat Nor, Mohd Basri
Prayag, Shirish
Baker, Tim
Amin, Pravin R.
author_sort McGloughlin, Steve
building IIUM Repository
collection Online Access
description Sepsis and septic shock in the tropics are caused by a wide array of organisms. These infections are encountered mainly in low and middle-income countries (LMIC) where a lack of infrastructure and medical facilities contribute to the high morbidity and mortality. Published sepsis guidelines are based on studies primarily performed in high income countries and as such recommendations may or may not be relevant to practice in the tropics. Failure to adhere to guidelines, particularly among non-intensive care specialists even in high-income countries, is an area of concern for sepsis management. Additionally, inappropriate use of antimicrobials has led to significant antimicrobial resistance. Access to rapid, low-cost, and accurate diagnostic tests is critical in countries where tropical diseases are prevalent to facilitate early diagnosis and treatment. Implementation of performance improvement programs may improve outcomes for patients with sepsis and the addition of resuscitation and treatment bundles may further reduce mortality. Associated co-morbidities such as malnutrition and HIV influence outcomes and must be considered.
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spelling iium-616792018-10-29T04:34:15Z http://irep.iium.edu.my/61679/ Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine McGloughlin, Steve Richards, Guy A. Mat Nor, Mohd Basri Prayag, Shirish Baker, Tim Amin, Pravin R. R Medicine (General) Sepsis and septic shock in the tropics are caused by a wide array of organisms. These infections are encountered mainly in low and middle-income countries (LMIC) where a lack of infrastructure and medical facilities contribute to the high morbidity and mortality. Published sepsis guidelines are based on studies primarily performed in high income countries and as such recommendations may or may not be relevant to practice in the tropics. Failure to adhere to guidelines, particularly among non-intensive care specialists even in high-income countries, is an area of concern for sepsis management. Additionally, inappropriate use of antimicrobials has led to significant antimicrobial resistance. Access to rapid, low-cost, and accurate diagnostic tests is critical in countries where tropical diseases are prevalent to facilitate early diagnosis and treatment. Implementation of performance improvement programs may improve outcomes for patients with sepsis and the addition of resuscitation and treatment bundles may further reduce mortality. Associated co-morbidities such as malnutrition and HIV influence outcomes and must be considered. Elsevier 2018-08 Article PeerReviewed application/pdf en http://irep.iium.edu.my/61679/13/61679_Sepsis%20in%20tropical%20regions.pdf application/pdf en http://irep.iium.edu.my/61679/19/61679_Sepsis%20in%20tropical%20regions_SCOPUS.pdf McGloughlin, Steve and Richards, Guy A. and Mat Nor, Mohd Basri and Prayag, Shirish and Baker, Tim and Amin, Pravin R. (2018) Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine. Journal of Critical Care, 46. pp. 115-118. ISSN 0883-9441 https://www.sciencedirect.com/science/article/pii/S0883944117319950 10.1016/j.jcrc.2017.12.018
spellingShingle R Medicine (General)
McGloughlin, Steve
Richards, Guy A.
Mat Nor, Mohd Basri
Prayag, Shirish
Baker, Tim
Amin, Pravin R.
Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine
title Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine
title_full Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine
title_fullStr Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine
title_full_unstemmed Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine
title_short Sepsis in tropical regions: Report from the task force on tropical diseases by the World Federation of Societies of Intensive and Critical Care Medicine
title_sort sepsis in tropical regions: report from the task force on tropical diseases by the world federation of societies of intensive and critical care medicine
topic R Medicine (General)
url http://irep.iium.edu.my/61679/
http://irep.iium.edu.my/61679/
http://irep.iium.edu.my/61679/
http://irep.iium.edu.my/61679/13/61679_Sepsis%20in%20tropical%20regions.pdf
http://irep.iium.edu.my/61679/19/61679_Sepsis%20in%20tropical%20regions_SCOPUS.pdf