Abstract

NARES-TORICES, Miguel A. et al. Management of sepsis and septic shock in pregnancy. Perinatol. Reprod. Hum. [online]. 2013, vol.27, n.4, pp.248-261. ISSN 2524-1710.

Sepsis is a common and deadly disease. Knowledge of the epidemiology of sepsis has allowed the clinician identify patients with higher risk of sepsis and septic individual with higher risk for complications. The implementation of evidence-based strategies could reduce both mortality and costs. The incidence of sepsis increases with age, the use of immunosuppressive agents, invasive procedures and the number of resistant organisms. Septic shock in obstetrics women have fewer comorbid conditions, the primary site of infection in these patients is the pelvis. The symptoms of sepsis may be nonspecific, causing delay in diagnosis and appropriate treatment with possibly fatal consequences. Despite the use of antimicrobial agents and advanced life support, the mortality rate of sepsis has remained between 20-30%, by 40-50% for severe sepsis and septic shock 50-60%. Intensive care specialists have taken on the challenge of reducing current levels of mortality from sepsis by applying global standards and evidence-based guidelines for diagnosis and treatment.

Keywords : Sepsis; septic shock; resuscitation in sepsis and pregnancy.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )