Management of Sepsis: the PIRO Approach (eBook)

Jordi Rello, Emilio Díaz, Alejandro Rodríguez (Herausgeber)

eBook Download: PDF

2009 | 2009
X, 164 Seiten
Springer Berlin (Verlag)
978-3-642-00479-7 (ISBN)

Infos

Sepsis is a very important public health problem. It is widely acknowledged that the severe inflammatory response syndrome/severe sepsis paradigm fails to stratify sepsis patients adequately. This book reviews in detail how sepsis should be managed on the basis of a novel approach to staging. The PIRO (predisposing factors, infection, response, organ dysfunction) model was first proposed at the start of the decade on a theoretical basis and has now been translated into a practical approach for use at the bedside. It is loosely based on the TNM staging system for cancers, with points being allocated to each of the four aforementioned key characteristics of the septic process. The proposed PIRO framework facilitates evaluation of factors that are important in the pathogenesis of severe sepsis and in the development of treatment strategies. This book clearly explains the advantages of the PIRO approach in different settings and will be of value to all practitioners concerned with the management of sepsis.

Inhalt

Contents 5
Contributors 7
PIRO: The Key to Success? 10
Risk Stratification in Severe Sepsis: Organ Failure Scores or PIRO? 19
Community-Acquired Pneumonia Management Based on the PIRO System. A New Therapeutic Paradigm 31
Ventilator-Associated Pneumonia PIRO Score 47
A PIRO- Based Approach for Severity Assessment in Community- Acquired Pneumonia 58
Real- Time PCR in Microbiology: From Diagnosis to Characterization 71
Influence of Serotype in Pneumococcal Disease: A New Challenge for Vaccination 92
Acute Kidney Injury and Extracorporeal Blood Purification in Sepsis 102
Immunoglobulin, Sepsis, and Pneumonia 122
Coagulation Disorders in Sepsis 135
Antibiotics in Severe Sepsis: Which Combinations Work? 151
Index 163

Produkt-Details

• Erscheint lt. Verlag: 28.5.2009
• Zusatzinfo: X, 164 p. 16 illus., 4 illus. in color.
• Verlagsort: Berlin
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Anästhesie
• Themenwelt: Medizinische Fachgebiete ► Innere Medizin ► Pneumologie
• Schlagworte: Antibiotics • Atmen • Infection • Infectious Diseases • PIRO • Pneumonia • Sepsis • Septic shock
• ISBN-10: 3-642-00479-2 / 3642004792
• ISBN-13: 978-3-642-00479-7 / 9783642004797