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Sepsis hos barn – nya nationella rekommendationer

Malmgren, Annika ; Smedbäck, Johan ; Orfanos, Ioannis LU orcid and Biswanger, Karin (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.

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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
Please use this url to cite or link to this publication:
author
; ; and
alternative title
Pediatric sepsis - new national recommendations for recognition and initial treatment
publishing date
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}},
}