Justification of the form and necessity of creating and maintaining a sepsis register

Abstract

The results of large multicenter epidemiological studies of sepsis indicate a tense epidemiological situation and important microbiological features inherent in each medical institution. Together with the abundance of clinical information necessary for making a diagnosis and assessing the severity of a patient with sepsis, these facts dictate the need to create and maintain a septic register - a system for collecting, recording and storing unified information about patients with a specific disease receiving a specific treatment. The multifaceted nature of the sepsis problem leaves an imprint on the features that need to be given to the sepsis register. It is important that the prospective registry takes into account the microbiological, immunological and clinical aspects of sepsis. The uniqueness and variability of the microbiological landscape of a particular intensive care unit and intensive care unit suggests that each medical institution needs to maintain its own sepsis register, taking into account the data of microbiological monitoring. Also, the prospective registry should contain a detailed clinical description of each case entered into it, including all the necessary laboratory data to assess the severity of the patient’s condition in dynamics. The creation and implementation of the registry in medical institutions will allow you to own the epidemiological situation in sepsis, monitor patients throughout their lives, analyze the adequacy of the therapy and timely correct it, as well as carry out timely diagnosis and correction of the long-term consequences of the disease. Due to individual characteristics, each medical institution needs to create and systematically maintain its own sepsis register.

Keywords

sepsis / infections associated with medical care / microbiological monitoring / primary immunological deficiency / sepsis register / epidemiology of sepsis / assessment of the severity of the condition / immunological profile of the patient / systemic inflammatory response syndrome / control strategy of antibacterial therapy

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RIGHTS & PERMISSIONS

Gumilevsky B.Y., Ivanov F.V.