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An update on classification and management of urosepsis

Lookup NU author(s): Dr Zafer Tandogdu

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Abstract

Purpose of reviewThe urinary tract is the infection site in severe sepsis/septic shock in 10-30%.Recent findingsThere is a new Sepsis definition focusing on severe sepsis. Urosepsis is mainly due to obstructed uropathy of the upper urinary tract. The pathogenesis of sepsis is complex and is driven by the innate immune system. In the further course immunosuppression is developing. Management of urosepsis includes early diagnosis, early initiation of treatment such as identification and control of the complicating factor in the urinary tract and the specific sepsis therapy. As part of early diagnosis the value of the new defining criteria is still to be known. The management bundles are regularly updated according to the surviving sepsis campaign guidelines.SummarySepsis has still a high morbidity and mortality rate. Although definition and diagnosis of sepsis has been recently updated, its translation into urosepsis management requires validation.

Publication metadata

Author(s): Wagenlehner FME, Tandogdu Z, Johansen TEB

Publication type: Review

Publication status: Published

Journal: Current Opinion in Urology

Year: 2017

Volume: 27

Issue: 2

Pages: 133-137

Print publication date: 01/03/2017

Acceptance date: 02/04/2016

ISSN (print): 0963-0643

ISSN (electronic): 1473-6586

Publisher: LIPPINCOTT WILLIAMS & WILKINS

URL: https://doi.org/10.1097/MOU.0000000000000364

DOI: 10.1097/MOU.0000000000000364

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