Source control for sepsis

Abstract

The approach for the source of infection is an important factor in sepsis. Since the diagnostic imaging is essential, the appropriate imaging in accordance with the suspected source should be selected in the case of sepsis patients with unknown source of infection. The drainage approaches are considered when the source of infection is revealed, whereas the early and invasive approaches are not necessarily recommended for infectious pancreatic necrosis. In the context of the development of less invasive therapy such as the endoscopic drainage and percutaneous drainage, the “step─up approach” which becomes incrementally more invasive according to the treatment effect should be considered.