PPRS Sepsis 2020

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SEPSIS MANAGEMENT

TATALAKSANA SEPSIS
DR. TEDDY FERDINAND INDRASUTANTO, SP.AN KAKV
SEPSIS
OVERVIEW
2020: 2X LIPAT PASIEN MENINGGAL AKIBAT SEPSIS

48,9 JT KASUS SEPSIS DI DUNIA SEPANJANG 2017

11 JT PASIEN TSB MENINGGAL

1 DARI 5 KASUS MENINGGAL DIAKIBATKAN SEPSIS


85% KASUS SEPSIS TERJADI DI NEGARA MENENGAH
KEBAWAH
40% TERJADI PADA ANAK USIA <5 TH

E. RUDD et al, 2020


SEPSIS
WHAT IS
SEPSIS?

sepsis is a life-threatening organ dysfunction due


to a dysregulated host response to infection;
'suspected sepsis' is used to indicate people who
might have sepsis and require face to face
assessment and consideration of urgent
intervention
Pathophysiology of
sepsis
Pathophysiology of
sepsis
Pathophysiology of
sepsis
Pathophysiology of
sepsis
HOW TO DIAGNOSE
SEPSIS?Possible source of
Infection
New onset of
abnormalities
• Temperature
• Respiration
• Circulation

Lab. examination
WHEN TO TREAT
SEPSIS?
Take into account that people with sepsis may
have non-specific, non-localised presentations,
for example feeling very unwell, and may not
have a high temperature.

Initial assessment are crucial, the treatment


should begin from the first hour sepsis is
suspected. (Early Goal Directed Therapy, Sepsis
Bundle Campaign)
WHO CAN TREAT
SEPSIS?
The first doctor who made the clinical assessment of sepsis,
and all the doctors after it until the Intensivists when the
patient needed respiratory and circulatory support.

Why?

Because sepsis treatment begin at the first hour from the


clinical assessment of sepsis is given.
IS THERE ANYTHING YOU COULD NOT DO AS A
DOCTOR?

ANY DOCTOR CAN DO IT, ALL DOCTOR SHOULD


DO IT WHEN WE FOUND ONE.
Thank You

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