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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Asepsis

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ACR Appropriateness Criteria® Sepsis.

, Anupama G Brixey1, Alice Fung2

  • 1Portland VA Healthcare System and Oregon Health & Science University, Portland, Oregon.

Journal of the American College of Radiology : JACR
|June 1, 2024
PubMed
Summary
This summary is machine-generated.

Sepsis, a life-threatening organ dysfunction, requires prompt diagnosis. This guide details appropriate radiological imaging for thoracic and abdominopelvic sepsis sources, aiding clinical decision-making.

Keywords:
AUCAppropriateness Criteriaabdomenappropriate use criteriachestinfectionsepsisseptic shocksevere sepsis

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Area of Science:

  • Radiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Sepsis is a global health crisis with high mortality.
  • Identifying the infection source is crucial for effective sepsis management.
  • Radiological imaging plays a key role in diagnosing sepsis etiologies.

Purpose of the Study:

  • To provide evidence-based guidelines on appropriate imaging for sepsis.
  • To focus on thoracic and abdominopelvic sources of infection.
  • To offer recommendations for commonly encountered sepsis scenarios.

Main Methods:

  • Systematic analysis of peer-reviewed medical literature.
  • Application of Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology.
  • Utilization of the RAND/UCLA Appropriateness Method for clinical scenarios.

Main Results:

  • Presents 5 common sepsis scenarios with imaging recommendations.
  • Details appropriate and inappropriate imaging modalities for each case.
  • Incorporates expert opinion where literature is limited.

Conclusions:

  • Appropriate imaging selection is imperative for sepsis diagnosis and management.
  • Guidelines support optimal use of radiological studies in sepsis evaluation.
  • Evidence-based recommendations aid clinicians in diagnosing thoracic and abdominopelvic sepsis.