ISSN 1308-8734 | E-ISSN 1308-8742
Review
Sepsis and Septic Shock: Current Treatment Strategies and New Approaches
1 Turkish Medicines and Medical Devices Agency, Ministry of Health, Ankara, Turkey  
2 Department of Pharmacology, Atatürk University School of Medicine, Erzurum, Turkey  
Eurasian J Med 2017; 49: 53-58
DOI: 10.5152/eurasianjmed.2017.17062
Key Words: Critical care, sepsis, septic shock
Abstract

Sepsis is a complex condition characterized by the simultaneous activation of inflammation and coagulation in response to microbial insult. These events manifest as systemic inflammatory response syndrome or sepsis symptoms through the release of proinflammatory cytokines, procoagulants, and adhesion molecules from immune cells and/or damaged endothelium. Today, sepsis is a severe multisystem disease with difficult treatments for its manifestations and high mortality rates. In the last two decades in particular, many studies have been conducted on sepsis that cause shock, multiorgan dysfunction, and organ failure by especially leading to hemodynamic changes. In sepsis, increasing antibiotic resistance and medicine-resistant hemodynamic changes have resulted in further research on new treatment modalities in addition to classical treatments. In the last decade, the sepsis physiopathology has been elucidated. Various therapeutic agents have been used in addition to antibiotherapy, but no satisfactory results have been obtained. This review summarizes the sepsis pathophysiology, current treatment protocols, and new approaches.

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