MANAGEMENT OF SEPSIS AND ACUTE INFECTIONS: APPROACH IN SURGICAL PATIENTS

Authors

  • Priscylla Lucena Santos Médica pela União da Faculdade dos Grandes Lagos(UNILAGO)
  • Marcellus de Lucena Oliveira Discente da Universidade Brasil
  • Raphael Navarro Aquilino Médico pela União da Faculdade dos Grandes Lagos(UNILAGO) Professor Auxiliar do Curso de Medicina - Afya Palmas Médico Residente em Cardiologia pela Universidade Federal do Tocantins
  • Matheus Lucena Santos Discente da União da Faculdade dos Grandes Lagos(UNILAGO)
  • Leandro Aparecido Irrazabal Médico - Universidade Federal do Pampa - UNIPAMPA
  • Marcus Vinícius Cordeiro Costa Universidade de Rio Verde (UniRV) Campus Goiânia
  • Luana Vasconcellos Mendonça Schiphorst Medica - Universidade Estacio de sá
  • Anelise Molinari Parreira Médica Faculdade de Minas (Faminas/BH)
  • Kadyja Ferraz de Melo Médica revalidada pela UNB
  • Daniel Felipe Nobre Castiel Médico pela Universidade Salvador
  • Pedro Henrique Barroso Aguiar Médico pelo Centro Universitário FAMETRO
  • Taina Santos Oliveira Médica pela UNIFTC, Salvador/ BA
  • Danielli Xavier Tamietti Durães Médica pelo Centro Universitário Serra dos Órgãos (UNIFESO)

DOI:

https://doi.org/10.36557/2674-8169.2024v6n8p1848-1860

Keywords:

Sepsis, Acute Infections, Surgical Patients.

Abstract

Introduction: Management of sepsis and acute infections in surgical patients is essential to prevent serious complications. Sepsis, a systemic inflammatory response to an infection, requires early detection and rapid treatment to prevent progression to septic shock. Therefore, measures such as the use of monitoring protocols, immediate administration of antibiotics and strict wound hygiene are crucial. Objective: To provide a comprehensive and practical understanding of how to identify, treat, and prevent sepsis and other acute infections in patients who have undergone surgical procedures. Methodology: The Cochrane, Scielo and Medline databases were used, searching for articles published between 2022 and 2024, in Portuguese or English. Final Considerations: The management of sepsis and acute infections in surgical patients requires a multidisciplinary and immediate approach, as early recognition and rapid use of antimicrobial therapies, along with control of the source of infection, are crucial. Furthermore, hemodynamic management must be personalized, and prevention through prophylaxis protocols and strict infection control is essential.

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References

Bedawi, Eihab et al. Early Video Assisted Thoracoscopic Surgery (VATS) or Intrapleural Enzyme Therapy (IET) in Pleural Infection – A Feasibility Randomized Controlled Trial (The Third Multicenter Intrapleural Sepsis Trial – MIST-3). *American Journal of Respiratory and Critical Care Medicine*, v. 208, n. 12, p. 1305–1315, 15 dez. 2023.

Gray, A. J. et al. Albumin Versus Balanced Crystalloid for the Early Resuscitation of Sepsis: An Open Parallel-Group Randomized Feasibility Trial. The ABC-Sepsis Trial. *Critical Care Medicine*, 24 jun. 2024.

Hu, X.; Yan, L. A secondary abdominal aorta-duodenal fistula accompanied with acquired Immune Deficiency Syndrome presented with recurrent sepsis: a case report. *BMC Infect Dis*, p. 669–669, 2024.

Jorda, A. et al. Fluid management for sepsis-induced hypotension in patients with advanced chronic kidney disease: a secondary analysis of the CLOVERS trial. *Critical Care*, v. 28, n. 1, 11 jul. 2024.

Mansilla-Roselló, A. et al. A phase II, single-center, double-blind, randomized placebo-controlled trial to explore the efficacy and safety of intravenous melatonin in surgical patients with severe sepsis admitted to the intensive care unit. *Journal of Pineal Research*, v. 74, n. 2, 2 dez. 2022.

Munroe, E. S. et al. Understanding How Clinicians Personalize Fluid and Vasopressor Decisions in Early Sepsis Management. *JAMA Network Open*, v. 7, n. 4, p. e247480–e247480, 19 abr. 2024.

Persson, I. et al. Early prediction of sepsis in intensive care patients using the machine learning algorithm NAVOY® Sepsis, a prospective randomized clinical validation study. *Journal of Critical Care*, v. 80, p. 154400–154400, 1 abr. 2024.

Shehadeh, I. et al. Open or closed abdomen post laparotomy to control severe abdominal sepsis: a survival analysis. *Revista do Colégio Brasileiro de Cirurgiões*, v. 51, 1 jan. 2024.

Silva, C. M. et al. Valor prognóstico da hiperlactatemia em pacientes admitidos com infecção em unidades de terapia intensiva: estudo multicêntrico. *Revista Brasileira de Terapia Intensiva*, v. 34, n. 1, 2022.

Tagar, Esteem et al. Abdominal wound closure in the presence of sepsis: our experience with the use of subcutaneous drain. *Ghana Medical Journal*, v. 58, n. 1, p. 26–33, 25 mar. 2024.

Published

2024-08-13

How to Cite

Santos, P. L., Oliveira , M. de L., Aquilino, R. N., Santos, M. L., Irrazabal, L. A., Costa , M. V. C., Schiphorst , L. V. M., Parreira , A. M., Melo, K. F. de, Castiel , D. F. N., Aguiar, P. H. B., Oliveira, T. S., & Durães, D. X. T. (2024). MANAGEMENT OF SEPSIS AND ACUTE INFECTIONS: APPROACH IN SURGICAL PATIENTS. Brazilian Journal of Implantology and Health Sciences, 6(8), 1848–1860. https://doi.org/10.36557/2674-8169.2024v6n8p1848-1860