The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020).

Autor: Egi M; Division of Anesthesiology Department of Surgery Related Kobe University Graduate School of Medicine Kobe Japan., Ogura H; Department of Traumatology and Acute Critical Medicine Osaka University Medical School Suita Japan., Yatabe T; Department of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine Toyoake Japan., Atagi K; Department of Intensive Care Unit Nara Prefectural General Medical Center Nara Japan., Inoue S; Department of Disaster and Emergency Medicine Kobe University Graduate School of Medicine Kobe Japan., Iba T; Department of Emergency and Disaster Medicine Juntendo University Tokyo Japan., Kakihana Y; Department of Emergency and Intensive Care Medicine Kagoshima University Graduate School of Medical and Dental Sciences Kagoshima Japan., Kawasaki T; Department of Pediatric Critical Care Shizuoka Children's Hospital Shizuoka Japan., Kushimoto S; Division of Emergency and Critical Care Medicine Tohoku University Graduate School of Medicine Sendai Japan., Kuroda Y; Department of Emergency, Disaster, and Critical Care Medicine Faculty of Medicine Kagawa University Kagawa Japan., Kotani J; Division of Disaster and Emergency Medicine Department of Surgery Related Kobe University Graduate School of Medicine Kobe Japan., Shime N; Department of Emergency and Critical Care Medicine Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan., Taniguchi T; Department of Anesthesiology and Intensive Care Medicine Kanazawa University Kanazawa Japan., Tsuruta R; Acute and General Medicine Yamaguchi University Graduate School of Medicine Ube Japan., Doi K; Department of Acute Medicine The University of Tokyo Tokyo Japan., Doi M; Department of Anesthesiology and Intensive Care Medicine Hamamatsu University School of Medicine Hamamatsu Japan., Nakada TA; Department of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba Japan., Nakane M; Department of Emergency and Critical Care Medicine Yamagata University Hospital Yamagata Japan., Fujishima S; Center for General Medicine Education Keio University School of Medicine Tokyo Japan., Hosokawa N; Department of Infectious Diseases Kameda Medical Center Kamogawa Japan., Masuda Y; Department of Intensive Care Medicine Sapporo Medical University School of Medicine Sapporo Japan., Matsushima A; Department of Advancing Acute Medicine Graduate School of Medical Sciences Nagoya City University Nagoya Japan., Matsuda N; Department of Emergency and Critical Care Medicine Nagoya University Graduate School of Medicine Nagoya Japan., Yamakawa K; Department of Emergency Medicine Osaka Medical College Osaka Japan., Hara Y; Department of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine Toyoake Japan., Sakuraya M; Department of Emergency and Intensive Care Medicine JA Hiroshima General Hospital Hatsukaichi Japan., Ohshimo S; Department of Emergency and Critical Care Medicine Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan., Aoki Y; Department of Anesthesiology and Intensive Care Medicine Hamamatsu University School of Medicine Hamamatsu Japan., Inada M; Member of Japanese Association for Acute Medicine Tokyo Japan., Umemura Y; Division of Trauma and Surgical Critical Care Osaka General Medical Center Osaka Japan., Kawai Y; Department of Nursing Fujita Health University Hospital Toyoake Japan., Kondo Y; Department of Emergency and Critical Care Medicine Juntendo University Urayasu Hospital Urayasu Japan., Saito H; Department of Emergency and Critical Care Medicine St. Marianna University School of Medicine Yokohama City Seibu Hospital Yokohama Japan., Taito S; Division of Rehabilitation Department of Clinical Support and Practice Hiroshima University Hospital Hiroshima Japan., Takeda C; Department of Anesthesia Kyoto University Hospital Kyoto Japan., Terayama T; Department of Psychiatry School of Medicine National Defense Medical College Tokorozawa Japan., Tohira H; Curtin University Perth Australia., Hashimoto H; Department of Emergency and Critical Care Medicine/Infectious Disease Hitachi General Hospital Hitachi Japan., Hayashida K; The Feinstein Institute for Medical Research NY USA., Hifumi T; Department of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan., Hirose T; Emergency and Critical Care Medical Center Osaka Police Hospital Osaka Japan., Fukuda T; Department of Emergency and Critical Care Medicine Graduate School of Medicine University of the Ryukyus Okinawa Japan., Fujii T; Intensive Care Unit Jikei University Hospital Tokyo Japan., Miura S; The Royal Children's Hospital Melbourne, Melbourne Australia., Yasuda H; Department of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama Japan., Abe T; Department of Emergency and Critical Care Medicine Tsukuba Memorial Hospital Tsukuba Japan., Andoh K; Division of Anesthesiology Division of Intensive Care Division of Emergency and Critical Care Sendai City Hospital Sendai Japan., Iida Y; Department of Physical Therapy School of Health Sciences Toyohashi Sozo University Toyohashi Japan., Ishihara T; Department of Emergency and Critical Care Medicine Juntendo University Urayasu Hospital Urayasu Japan., Ide K; Critical Care Medicine National Center for Child Health and Development Tokyo Japan., Ito K; Department of General Pediatrics Aichi Children's Health and Medical Center Obu Japan., Ito Y; Department of Infectious Disease Hyogo Prefectural Amagasaki General Medical Center Amagasaki Japan., Inata Y; Department of Intensive Care Medicine Osaka Women's and Children's Hospital Izumi Japan., Utsunomiya A; Human Health Science Graduate School of Medicine Kyoto University Kyoto Japan., Unoki T; Department of Acute and Critical Care Nursing School of Nursing Sapporo City University Sapporo Japan., Endo K; Department of Pharmacoepidemiology Kyoto University Graduate School of Medicine and Public Health Kyoto Japan., Ouchi A; College of Nursing Ibaraki Christian University Hitachi Japan., Ozaki M; Department of Emergency and Critical Care Medicine Komaki City Hospital Komaki Japan., Ono S; Gastroenterological Center Shinkuki General Hospital Kuki Japan., Katsura M; Department of Surgery Okinawa Chubu Hospital Uruma Japan., Kawaguchi A; CHU Sainte Justines University of Montreal Montreal Canada., Kawamura Y; Department of Rehabilitation Showa General Hospital Tokyo Japan., Kudo D; Division of Emergency and Critical Care Medicine Tohoku University Graduate School of Medicine Sendai Japan., Kubo K; Department of Emergency Medicine Department of Infectious Diseases Japanese Red Cross Wakayama Medical Center Wakayama Japan., Kurahashi K; Department of Anesthesiology and Intensive Care Medicine International University of Health and Welfare School of Medicine Narita Japan., Sakuramoto H; College of Nursing Ibaraki Christian University Hitachi Japan., Shimoyama A; Department of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama Japan., Suzuki T; Department of Anesthesiology Tokai University School of Medicine Isehara Japan., Sekine S; Department of Anesthesiology Tokyo Medical University Tokyo Japan., Sekino M; Division of Intensive Care Nagasaki University Hospital Nagasaki Japan., Takahashi N; Department of Emergency and Critical Care Medicine Chiba University Graduate School of Medicine Chiba Japan., Takahashi S; Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE) Fukushima Medical University Fukushima Japan., Takahashi H; Department of Cardiology Steel Memorial Muroran Hospital Muroran Japan., Tagami T; Department of Emergency and Critical Care Medicine Nippon Medical School Musashi Kosugi Hospital Kawasaki Japan., Tajima G; Nagasaki University Hospital Acute and Critical Care Center Nagasaki Japan., Tatsumi H; Department of Intensive Care Medicine Sapporo Medical University School of Medicine Sapporo Japan., Tani M; Division of Critical Care Medicine Saitama Children's Medical Center Saitama Japan., Tsuchiya A; Department of Emergency and Critical Care Medicine National Hospital Organization Mito Medical Center Ibaraki Japan., Tsutsumi Y; Department of Emergency and Critical Care Medicine National Hospital Organization Mito Medical Center Ibaraki Japan., Naito T; Department of Emergency and Critical Care Medicine St. Marianna University School of Medicine Kawasaki Japan., Nagae M; Department of Intensive Care Medicine Kobe University Hospital Kobe Japan., Nagasawa I; School of Medicine Tokai University Isehara Japan., Nakamura K; Department of Emergency and Critical Care Medicine Hitachi General Hospital Hitachi Japan., Nishimura T; Department of Traumatology and Critical Care Medicine Osaka City University Graduate School of Medicine Osaka Japan., Nunomiya S; Division of Intensive Care Department of Anesthesiology and Intensive Care Medicine Jichi Medical University School of Medicine Shimotsuke Japan., Norisue Y; Department of Emergency and Critical Care Medicine Tokyo Bay Urayasu Ichikawa Medical Center Urayasu Japan., Hashimoto S; Department of Anesthesiology and Intensive Care Medicine Kyoto Prefectural University of Medicine Kyoto Japan., Hasegawa D; Department of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine Toyoake Japan., Hatakeyama J; Department of Emergency and Critical Care Medicine National Hospital Organization Tokyo Medical Center Tokyo Japan., Hara N; Department of Pharmacy Yokohama Rosai Hospital Yokohama Japan., Higashibeppu N; Department of Anesthesiology and Nutrition Support Team Kobe City Medical Center General Hospital Kobe City Hospital Organization Kobe Japan., Furushima N; Department of Anesthesiology Kobe University Hospital Kobe Japan., Furusono H; Department of Rehabilitation University of Tsukuba Hospital/Exult Co., Ltd Tsukuba Japan., Matsuishi Y; Doctoral program in Clinical Sciences. Graduate School of Comprehensive Human Sciences University of Tsukuba Tsukuba Japan., Matsuyama T; Department of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto Japan., Minematsu Y; Department of Clinical Engineering Osaka University Hospital Suita Japan., Miyashita R; Department of Intensive Care Medicine Showa University School of Medicine Tokyo Japan., Miyatake Y; Department of Clinical Engineering Kakogawa Central City Hospital Kakogawa Japan., Moriyasu M; Division of Respiratory Care and Rapid Response System Intensive Care Center Kitasato University Hospital Sagamihara Japan., Yamada T; Department of Nursing Toho University Omori Medical Center Tokyo Japan., Yamada H; Department of Primary Care and Emergency Medicine Kyoto University Hospital Kyoto Japan., Yamamoto R; Department of Emergency and Critical Care Medicine Keio University School of Medicine Tokyo Japan., Yoshida T; Department of Anesthesiology and Intensive Care Medicine Osaka University Graduate School of Medicine Suita Japan., Yoshida Y; Nursing Department Osaka General Medical Center Osaka Japan., Yoshimura J; Division of Trauma and Surgical Critical Care Osaka General Medical Center Osaka Japan., Yotsumoto R; Toho University Omori Medical Center Tokyo Japan., Yonekura H; Department of Clinical Anesthesiology Mie University Hospital Tsu Japan., Wada T; Division of Acute and Critical Care Medicine Department of Anesthesiology and Critical Care Medicine Hokkaido University Faculty of Medicine Sapporo Japan., Watanabe E; Department of Emergency and Critical Care Medicine Eastern Chiba Medical Center Togane Japan., Aoki M; Department of Emergency Medicine Gunma University Graduate School of Medicine Maebashi Japan., Asai H; Department of Emergency and Critical Care Medicine Nara Medical University Kashihara Japan., Abe T; Department of Anesthesiology and Intensive Care Oita University Hospital Yufu Japan., Igarashi Y; Department of Emergency and Critical Care Medicine Nippon Medical School Hospital Tokyo Japan., Iguchi N; Department of Anesthesiology and Intensive Care Medicine Graduate School of Medicine Osaka University Suita Japan., Ishikawa M; Department of Anesthesiology, Emergency and Critical Care Medicine Kure Kyosai Hospital Kure Japan., Ishimaru G; Department of General Internal Medicine Soka Municipal Hospital Soka Japan., Isokawa S; Department of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan., Itakura R; Department of Emergency and Critical Care Medicine Tokyo Metropolitan Children's Medical Center Tokyo Japan., Imahase H; Department of Biomedical Ethics Graduate School of Medicine The University of Tokyo Tokyo Japan., Imura H; Department of Infectious Diseases Rakuwakai Otowa Hospital.; Department of Health Informatics School of Public Health Kyoto University Kyoto Japan., Irinoda T; Tohoku University Hospital Emergency Center Sendai Japan., Uehara K; Department of Anesthesiology National Hospital Organization Iwakuni Clinical Center Iwakuni Japan., Ushio N; Advanced Medical Emergency Department and Critical Care Center Japan Red Cross Maebashi Hospital Maebashi Japan., Umegaki T; Department of Anesthesiology Kansai Medical University Hirakata Japan., Egawa Y; Advanced Emergency and Critical Care Center Saitama Red Cross Hospital Saitama Japan., Enomoto Y; Department of Emergency and Critical Care Medicine University of Tsukuba Tsukuba Japan., Ota K; Department of Emergency and Critical Care Medicine Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan., Ohchi Y; Department of Anesthesiology and Intensive Care Oita University Hospital Yufu Japan., Ohno T; Department of Emergency and Critical Medicine Showa University Fujigaoka Hospital Yokohama Japan., Ohbe H; Department of Clinical Epidemiology and Health Economics School of Public Health The University of Tokyo Tokyo Japan., Oka K; Shimane Advanced Trauma Center Izumo Japan., Okada N; Department of Emergency Medicine Kyoto Prefectural University of Medicine Kyoto Japan., Okada Y; Department of Primary care and Emergency medicine Kyoto University Graduate School of Medicine Kyoto Japan., Okano H; Department of Anesthesiology Kyorin University School of Medicine Tokyo Japan., Okamoto J; Department of ER Hashimoto Municipal Hospital Hashimoto Japan., Okuda H; Department of Community Medical Supports Tohoku Medical Megabank Organization Tohoku University Sendai Japan., Ogura T; Tochigi prefectural Emergency and Critical Care Center Imperial Gift Foundation Saiseikai Utsunomiya Hospital Utsunomiya Japan., Onodera Y; Department of Anesthesiology Faculty of Medicine Yamagata University Yamagata Japan., Oyama Y; Dialysis Center Department of Internal Medicine Kichijoji Asahi Hospital Tokyo Japan., Kainuma M; Anesthesiology, Emergency Medicine, and Intensive Care Division Inazawa Municipal Hospital Inazawa Japan., Kako E; Department of Anesthesiology and Intensive Care Medicine Nagoya-City University Graduate School of Medical Sciences Nagoya Japan., Kashiura M; Department of Emergency and Critical Care Medicine Jichi Medical University Saitama Medical Center Saitama Japan., Kato H; Department of Anesthesiology and Intensive Care Medicine Hamamatsu University School of Medicine Hamamatsu Japan., Kanaya A; Department of Anesthesiology Sendai Medical Center Sendai Japan., Kaneko T; Emergency and Critical Care Center Mie University Hospital Tsu Japan., Kanehata K; Advanced Medical Emergency Department and Critical Care Center Japan Red Cross Maebashi Hospital Maebashi Japan., Kano KI; Department of Emergency Medicine Fukui Prefectural Hospital Fukui Japan., Kawano H; Department of Gastroenterological Surgery Onga Hospital Fukuoka Japan., Kikutani K; Department of Emergency and Critical Care Medicine Graduate School of Biomedical and Health Sciences Hiroshima University Hiroshima Japan., Kikuchi H; Department of Emergency and Critical Care Medicine Seirei Mikatahara General Hospital Hamamatsu Japan., Kido T; Department of Pediatrics University of Tsukuba Hospital Tsukuba Japan., Kimura S; Division of Critical Care Medicine Saitama Children's Medical Center Saitama Japan., Koami H; Center for Translational Injury Research University of Texas Health Science Center at Houston Houston USA., Kobashi D; Advanced Medical Emergency Department and Critical Care Center Japan Red Cross Maebashi Hospital Maebashi Japan., Saiki I; Department of Anesthesiology Tokyo Medical University Tokyo Japan., Sakai M; Department of General Medicine Shintakeo Hospital Takeo Japan., Sakamoto A; Department of Emergency and Critical Care Medicine University of Tsukuba Hospital Tsukuba Japan., Sato T; Tohoku University Hospital Emergency Center Sendai Japan., Shiga Y; Department of Orthopaedic Surgery Center for Advanced Joint Function and Reconstructive Spine Surgery Graduate school of Medicine Chiba University Chiba Japan., Shimoto M; Department of Primary care and Emergency medicine Kyoto University Graduate School of Medicine Kyoto Japan., Shimoyama S; Department of Pediatric Cardiology and Intensive Care Gunma Children's Medical Center Shibukawa Japan., Shoko T; Department of Emergency and Critical Care Medicine Tokyo Women's Medical University Medical Center East Tokyo Japan., Sugawara Y; Department of Anesthesiology Yokohama City University Yokohama Japan., Sugita A; Division of Emergency and Critical Care Medicine Department of Acute Medicine Nihon University School of Medicine Tokyo Japan., Suzuki S; Department of Intensive Care Okayama University Hospital Okayama Japan., Suzuki Y; Department of Anesthesiology and Intensive Care Medicine Hamamatsu University School of Medicine Hamamatsu Japan., Suhara T; Department of Anesthesiology Keio University School of Medicine Tokyo Japan., Sonota K; Department of Intensive Care Medicine Miyagi Children's Hospital Sendai Japan., Takauji S; Department of Emergency Medicine Asahikawa Medical University Asahikawa Japan., Takashima K; Critical Care Medicine National Center for Child Health and Development Tokyo Japan., Takahashi S; Department of Cardiology Fukuyama City Hospital Fukuyama Japan., Takahashi Y; Department of General Internal Medicine Koga General Hospital Koga Japan., Takeshita J; Department of Anesthesiology Osaka Women's and Children's Hospital Izumi Japan., Tanaka Y; Fukuoka Prefectural Psychiatric Center Dazaifu Hospital Dazaifu Japan., Tampo A; Department of Emergency Medicine Asahikawa Medical University Asahikawa Japan., Tsunoyama T; Department of Emergency Medicine Teikyo University School of Medicine Tokyo Japan., Tetsuhara K; Emergency and Critical Care Center Kyushu University Hospital Fukuoka Japan., Tokunaga K; Department of Intensive Care Medicine Kumamoto University Hospital Kumamoto Japan., Tomioka Y; Department of Anesthesiology and Intensive Care Unit Todachuo General Hospital Toda Japan., Tomita K; Department of Pediatrics Keio University School of Medicine Tokyo Japan., Tominaga N; Department of Emergency and Critical Care Medicine Nippon Medical School Hospital Tokyo Japan., Toyosaki M; Department of Emergency and Critical Care Medicine Keio University School of Medicine Tokyo Japan., Toyoda Y; Department of Emergency and Critical Care Medicine Saiseikai Yokohamashi Tobu Hospital Yokohama Japan., Naito H; Department of Emergency Critical Care, and Disaster Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan., Nagata I; Intensive Care Unit Yokohama City Minato Red Cross Hospital Yokohama Japan., Nagato T; Department of Respiratory Medicine Tokyo Yamate Medical center Tokyo Japan., Nakamura Y; Department of Emergency and Critical Care Medicine Japanese Red Cross Kyoto Daini Hospital Kyoto Japan., Nakamori Y; Department of Clinical Anesthesiology Mie University Hospital Tsu Japan., Nahara I; Department of Anesthesiology and Critical Care Medicine Nagoya Daini Red Cross Hospital Nagoya Japan., Naraba H; Department of Emergency and Critical Care Medicine Hitachi General Hospital Hitachi Japan., Narita C; Department of Emergency Medicine and Intensive Care Medicine Shizuoka General Hospital Shizuoka Japan., Nishioka N; Department of Preventive Services Kyoto University Graduate School of Medicine Kyoto Japan., Nishimura T; Advanced Medical Emergency Department and Critical Care Center Japan Red Cross Maebashi Hospital Maebashi Japan., Nishiyama K; Division of Emergency and Critical Care Medicine Niigata University Graduate School of Medical and Dental Science Niigata Japan., Nomura T; Department of Emergency and Critical Care Medicine Juntendo University Nerima Hospital Tokyo Japan., Haga T; Department of Pediatric Critical Care Medicine Osaka City General Hospital Osaka Japan., Hagiwara Y; Department of Emergency and Critical Care Medicine Saiseikai Utsunomiya Hospital Utsunomiya Japan., Hashimoto K; Research Associate of Minimally Invasive Surgical and Medical Oncology Fukushima Medical University Fukushima Japan., Hatachi T; Department of Intensive Care Medicine Osaka Women's and Children's Hospital Izumi Japan., Hamasaki T; Department of Emergency Medicine Japanese Red Cross Society Wakayama Medical Center Wakayama Japan., Hayashi T; Division of Critical Care Medicine Saitama Children's Medical Center Saitama Japan., Hayashi M; Department of Emergency Medicine Fukui Prefectural Hospital Fukui Japan., Hayamizu A; Department of Emergency Medicine Saitama Saiseikai Kurihashi Hospital Kuki Japan., Haraguchi G; Division of Intensive Care Unit Sakakibara Heart Institute Tokyo Japan., Hirano Y; Department of Emergency and Critical Care Medicine Juntendo University Urayasu Hospital Urayasu Japan., Fujii R; Department of Emergency Medicine and Critical Care Medicine Tochigi Prefectural Emergency and Critical Care Center Imperial Foundation Saiseikai Utsunomiya Hospital Utsunomiya Japan., Fujita M; Acute and General Medicine Yamaguchi University Graduate School of Medicine Ube Japan., Fujimura N; Department of Anesthesiology St. Mary's Hospital Our Lady of the Snow Social Medical Corporation Kurume Japan., Funakoshi H; Department of Emergency and Critical Care Medicine Tokyo Bay Urayasu Ichikawa Medical Center Urayasu Japan., Horiguchi M; Department of Emergency and Critical Care Medicine Japanese Red Cross Kyoto Daiichi Hospital Kyoto Japan., Maki J; Department of Critical Care Medicine Kyushu University Hospital Fukuoka Japan., Masunaga N; Department of Healthcare Epidemiology School of Public Health in the Graduate School of Medicine Kyoto University Kyoto Japan., Matsumura Y; Department of Intensive Care Chiba Emergency Medical Center Chiba Japan., Mayumi T; Department of Internal Medicine Kanazawa Municipal Hospital Kanazawa Japan., Minami K; Ishikawa Prefectual Central Hospital Emergency and Critical Care Center Kanazawa Japan., Miyazaki Y; Department of Emergency and General Internal Medicine Saiseikai Kawaguchi General Hospital Kawaguchi Japan., Miyamoto K; Department of Emergency and Disaster Medicine Showa University Tokyo Japan., Murata T; Department of Cardiology Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology Tokyo Japan., Yanai M; Department of Emergency Medicine Kobe City Medical Center General Hospital Kobe Japan., Yano T; Department of Critical Care and Emergency Medicine Miyazaki Prefectural Nobeoka Hospital Nobeoka Japan., Yamada K; Department of Traumatology and Critical Care Medicine National Defense Medical College Tokorozawa Japan., Yamada N; Department of Emergency Medicine University of Fukui Hospital Fukui Japan., Yamamoto T; Department of Intensive Care Unit Nara Prefectural General Medical Center Nara Japan., Yoshihiro S; Pharmaceutical Department JA Hiroshima General Hospital Hatsukaichi Japan., Tanaka H; Department of Emergency and Critical Care Medicine Juntendo University Urayasu Hospital Urayasu Japan., Nishida O; Department of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine Toyoake Japan.
Jazyk: angličtina
Zdroj: Acute medicine & surgery [Acute Med Surg] 2021 Aug 26; Vol. 8 (1), pp. e659. Date of Electronic Publication: 2021 Aug 26 (Print Publication: 2021).
DOI: 10.1002/ams2.659
Abstrakt: The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020), a Japanese-specific set of clinical practice guidelines for sepsis and septic shock created as revised from J-SSCG 2016 jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in September 2020 and published in February 2021. An English-language version of these guidelines was created based on the contents of the original Japanese-language version. The purpose of this guideline is to assist medical staff in making appropriate decisions to improve the prognosis of patients undergoing treatment for sepsis and septic shock. We aimed to provide high-quality guidelines that are easy to use and understand for specialists, general clinicians, and multidisciplinary medical professionals. J-SSCG 2016 took up new subjects that were not present in SSCG 2016 (e.g., ICU-acquired weakness [ICU-AW], post-intensive care syndrome [PICS], and body temperature management). The J-SSCG 2020 covered a total of 22 areas with four additional new areas (patient- and family-centered care, sepsis treatment system, neuro-intensive treatment, and stress ulcers). A total of 118 important clinical issues (clinical questions, CQs) were extracted regardless of the presence or absence of evidence. These CQs also include those that have been given particular focus within Japan. This is a large-scale guideline covering multiple fields; thus, in addition to the 25 committee members, we had the participation and support of a total of 226 members who are professionals (physicians, nurses, physiotherapists, clinical engineers, and pharmacists) and medical workers with a history of sepsis or critical illness. The GRADE method was adopted for making recommendations, and the modified Delphi method was used to determine recommendations by voting from all committee members. As a result, 79 GRADE-based recommendations, 5 Good Practice Statements (GPS), 18 expert consensuses, 27 answers to background questions (BQs), and summaries of definitions and diagnosis of sepsis were created as responses to 118 CQs. We also incorporated visual information for each CQ according to the time course of treatment, and we will also distribute this as an app. The J-SSCG 2020 is expected to be widely used as a useful bedside guideline in the field of sepsis treatment both in Japan and overseas involving multiple disciplines.
Competing Interests: Financial and academic COIs as well as the role(s) of each committee member are disclosed in the additional file 1 (https://www.jsicm.org/pdf/guidelineEN/Additionalfile1.pdf). Financial COIs were disclosed in accordance with the standards used by the Japanese Association of Medical Sciences from 2017 through 2019.
(© 2021 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.)
Databáze: MEDLINE