Transcription of What to Do About Obstructive Urosepsis
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What to Do About Obstructive Urosepsis
Focus on CME at xxx72 The Canadian Journal of CME / December 2003 Focus on CME at Memorial University of NewfoundlandGavin Duffy, MD, FRCSCP resented at Wednesday at Noon Ask the ConsultantWhat to Do AboutObstructive UrosepsisSepsis has been described as the sys-temic inflammatory response set of definitions has beenpublished from the consensus conferenceof the American College of ChestPhysicians and the Society of CriticalCare Medicine (Table 1).2 Urosepsisimplies that the focus of infection causingsepsis arises from the urinary tract obstruction can occur at anylevel, and it can be due to congenital oracquired causes (Table 2). When infec-tion becomes associated with an obstruc-tion, the situation can quickly move tourosepsis requiring urgent intervention. What is the clinicalpresentation?Given the systemic response to infectionand sepsis, there are several clinicalchanges seen (Table 3).
Urosepsis 76 The Canadian Journal of CME / December 2003 appropriate cultures and initiating empiric antibiotic therapy (Table 5). Issues to consider when choosing an antibiotic is …
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