Sepsis hos barn – nya nationella rekommendationer
(2023) In Lakartidningen 120(50-52).- Abstract
A task force appointed by the Swedish Society of Pediatric Infectious Diseases developed national treatment recommendations for pediatric sepsis. It is limited to previously healthy children between 28 days (corrected) to 18 years of age and presented as a flow chart. Sepsis should be thought of as a life-threatening organ dysfunction caused by a dysregulated host response to infection. If the child is in shock, e.g. tachycardia with signs of decreased perfusion, sepsis treatment should be initiated immediately. If not in shock, but sepsis is very likely, sepsis treatment should be initiated as soon as possible. If the child is stable and sepsis is suspected, attempts should be made to revert symptoms not associated with the suspected... (More)
A task force appointed by the Swedish Society of Pediatric Infectious Diseases developed national treatment recommendations for pediatric sepsis. It is limited to previously healthy children between 28 days (corrected) to 18 years of age and presented as a flow chart. Sepsis should be thought of as a life-threatening organ dysfunction caused by a dysregulated host response to infection. If the child is in shock, e.g. tachycardia with signs of decreased perfusion, sepsis treatment should be initiated immediately. If not in shock, but sepsis is very likely, sepsis treatment should be initiated as soon as possible. If the child is stable and sepsis is suspected, attempts should be made to revert symptoms not associated with the suspected primary infection and basic work-up performed. If no improvement is seen within three hours, sepsis treatment should be initiated. Sepsis treatment consists of fluids and antibiotics, sometimes with vasopressors, corticosteroids and/or immunomodulatory drugs.
(Less)- Abstract (Swedish)
- Nationell konsensus om identifiering och akut behandling av sepsis hos barn har hittills saknats. En arbetsgrupp utsedd av Svensk barninfektionsförening har nu sammanställt ett nationellt vårdprogram som gäller barn över 28 dagars ålder (korrigerat), utan tidigare känd immunbrist, övrig immunnedsättning eller misstänkt meningit. Vårdprogrammet har granskats av Svensk förening för pediatrisk akutsjukvård (SWEPEM), Svensk förening för barnanestesi och barnintensivvård (SFBABI) samt Svenska infektionsläkarföreningen (SILF). På Barnläkarföreningens hemsida återfinns vårdprogrammet [1] och flödesschemat [2] i sin helhet. Här följer en sammanfattning
- author
- Malmgren, Annika ; Smedbäck, Johan ; Orfanos, Ioannis LU and Biswanger, Karin
- alternative title
- Pediatric sepsis - new national recommendations for recognition and initial treatment
- publishing date
- 2023-12-08
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- pediatric sepsis, Guideline, children, management
- in
- Lakartidningen
- volume
- 120
- issue
- 50-52
- article number
- 23099
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:38063418
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- no
- id
- da98e24d-2b8a-49e4-a1f3-2066e500a1b6
- alternative location
- https://lakartidningen.se/klinik-och-vetenskap-1/artiklar-1/klinisk-oversikt/2023/12/sepsis-hos-barn-nya-nationella-rekommendationer/
- date added to LUP
- 2023-12-12 10:32:22
- date last changed
- 2023-12-12 17:06:43
@article{da98e24d-2b8a-49e4-a1f3-2066e500a1b6, abstract = {{<p>A task force appointed by the Swedish Society of Pediatric Infectious Diseases developed national treatment recommendations for pediatric sepsis. It is limited to previously healthy children between 28 days (corrected) to 18 years of age and presented as a flow chart. Sepsis should be thought of as a life-threatening organ dysfunction caused by a dysregulated host response to infection. If the child is in shock, e.g. tachycardia with signs of decreased perfusion, sepsis treatment should be initiated immediately. If not in shock, but sepsis is very likely, sepsis treatment should be initiated as soon as possible. If the child is stable and sepsis is suspected, attempts should be made to revert symptoms not associated with the suspected primary infection and basic work-up performed. If no improvement is seen within three hours, sepsis treatment should be initiated. Sepsis treatment consists of fluids and antibiotics, sometimes with vasopressors, corticosteroids and/or immunomodulatory drugs.</p>}}, author = {{Malmgren, Annika and Smedbäck, Johan and Orfanos, Ioannis and Biswanger, Karin}}, issn = {{0023-7205}}, keywords = {{pediatric sepsis; Guideline; children; management}}, language = {{swe}}, month = {{12}}, number = {{50-52}}, publisher = {{Swedish Medical Association}}, series = {{Lakartidningen}}, title = {{Sepsis hos barn – nya nationella rekommendationer}}, url = {{https://lakartidningen.se/klinik-och-vetenskap-1/artiklar-1/klinisk-oversikt/2023/12/sepsis-hos-barn-nya-nationella-rekommendationer/}}, volume = {{120}}, year = {{2023}}, }