Sepsis –Who Cares?

Sepsis continues to have high morbidity and mortality despite better understanding of pathobiology. Definition of sepsis still lacks clarity. There is ever increasing demand and need for an easily deployable and more consistent definition.Microbiological, anatomical and physiological [MAP] diagnosis of sepsis renders completeness to diagnosis. Sepsis is now recognized as a medical emergency where timely care can improve outcomes. There are multiple stakeholders in clinical management of sepsis patients. We need consolidated and uniformly binding treatment plans for optimizing outcomes. Early recognition and diagnosis requires triggers from clinical data and laboratory. Team based approach has shown consistent improvement in delivery of care. Sepsis code focuses on faster and reliable mobilization of resources to provide early intervention. Sepsis code and sepsis clock are proven models to improve care process. The assessment and management is done as per surviving sepsis campaign guidelines. Quality parameters in sepsis management should be followed. Certification, audit and quality parameters relevant to sepsis care should be rolled out for units. Training and education for sepsis diagnosis and management requires interdisciplinary efforts. Advance sepsis management courses and other relevant modules need to be drafted for training guidelines. The sepsis campaign needs to be strengthened with involvement of all stakeholders at every level. Keywords: Sepsis; Septic Definition; Code Sepsis; Sepsis Clock; MAP Sepsi