Code Sepsis manifiesto promoted by 14 spanish scientific societies

Mon, 01/20/2014 - 16:05

Sepsis is the body’s response to an infection. It is a generalised inflammatory response that can cause dysfunction of several organs or systems. The intensity of the inflammatory response and the number of organs affected is directly related to mortality which is greater when there is septic shock or multiple organ failure. Its frequency is high, affecting 100-150 in every 100,000 inhabitants/year, which in our country means over 50,000 patients/year, of which up to a third can die for this reason. In the last few years, treatment guidelines and recommendations for management of patients with severe sepsis have been published, with the best example being the Surviving Sepsis Campaign (SSC) promoted by various international scientific societies. Following these recommendations has been associated to a reduction in mortality and morbidity of patients with severe sepsis in those hospitals where they have been implemented. The core elements of this intervention are early detection of at-risk patients and rapid application of a set of measures aimed at establishing etiological diagnosis, monitoring the various organs susceptible to failure, starting empirical treatment with antibiotics and replacing those organs or systems presenting functional failure. Implementation of this strategy has not evolved in a uniform manner at all healthcare levels or hospitals. Mortality related by severe sepsis or septic shock are still high and the deaths caused by infectious conditions in our society are higher than those caused by other diseases whose urgent attention has been organised by care codes. This is why the Scientific Societies signing this manifesto ask the Health Authorities to promote the creation of a code sepsis nationwide and in the various Spanish Autonomous Communities. The objective of the “Code Sepsis” is early detection of patients with severe sepsis (at the various healthcare levels), structured implementation of a set of recommended measures to diagnose, monitor and treat these patients and definition of care indicators that help evaluate compliance with recommendations and outcomes of implementing the code at a local, regional and national level. Optimization of sepsis management is associated to a reduction of healthcare costs, the amount of which is currently about €28,000 per case. The Societies signing this document consider it is the responsibility of the Healthcare Authorities to implement and disseminate the “Code Sepsis” and they state their will to collaborate in the preparation of contents for the code, training healthcare personnel and tracking its implementation in the various healthcare settings. Having a “Code Sepsis” in our country will mean improved care of our patients, which is the main objective of all those professionals committed to their care. Participating Societies: 

Spanish Society of Intensive Medicine and Coronary Care (SEMICYUC) 

Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC)

 Spanish Society of Family and Community Medicine (SEMFYC)

 Spanish Society of Emergency and Urgent Care (SEMES) 

Spanish Society of Anesthesiology, Resuscitation and Pain Therapy (SEDAR) 

Spanish Society of Chemotherapy (SEQ

) Spanish Surgery Association (AEC)

 Spanish Society of Internal Medicine (SEMI) 

Spanish Society of Pneumology and Thoracic Surgery (SEPAR)

 Spanish Hospital Pharmacy Society (SEFH)

 Spanish Society of Hematology (SEHH)

 Spanish Society of Healthcare Managers (SEDISA) 

Spanish Association of Pediatrics (AEP)

 Spanish Association of Mycology (AEM)


 Mallorca, 22 November 2012.

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