The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020)

Egi, Moritoki; Ogura, Hiroshi; Yatabe, Tomoaki; Atagi, Kazuaki; Inoue, Shigeaki; Iba, Toshiaki; Kakihana, Yasuyuki; Kawasaki, Tatsuya; Kushimoto, Shigeki; Kuroda, Yasuhiro; Kotani, Joji; Shime, Nobuaki; Taniguchi, Takumi; Tsuruta, Ryosuke; Doi, Kent; Doi, Matsuyuki; Nakada, Taka-aki; Nakane, Masaki; Fujishima, Seitaro; Hosokawa, Naoto; Masuda, Yoshiki; Matsushima, Asako; Matsuda, Naoyuki; Yamakawa, Kazuma; Hara, Yoshitaka; Sakuraya, Masaaki; Ohshimo, Shinichiro; Aoki, Yoshitaka; Inada, Mai; Umemura, Yutaka; Kawai, Yusuke; Kondo, Yutaka; Saito, Hiroki; Taito, Shunsuke; Takeda, Chikashi; Terayama, Takero; Tohira, Hideo; Hashimoto, Hideki; Hayashida, Kei; Hifumi, Toru; Hirose, Tomoya; Fukuda, Tatsuma; Fujii, Tomoko; Miura, Shinya; Yasuda, Hideto; Abe, Toshikazu; Andoh, Kohkichi; Iida, Yuki; Ishihara, Tadashi; Ide, Kentaro; Ito, Kenta; Ito, Yusuke; Inata, Yu; Utsunomiya, Akemi; Unoki, Takeshi; Endo, Koji; Ouchi, Akira; Ozaki, Masayuki; Ono, Satoshi; Katsura, Morihiro; Kawaguchi, Atsushi; Kawamura, Yusuke; Kudo, Daisuke; Kubo, Kenji; Kurahashi, Kiyoyasu; Sakuramoto, Hideaki; Shimoyama, Akira; Suzuki, Takeshi; Sekine, Shusuke; Sekino, Motohiro; Takahashi, Nozomi; Takahashi, Sei; Takahashi, Hiroshi; Tagami, Takashi; Tajima, Goro; Tatsumi, Hiroomi; Tani, Masanori; Tsuchiya, Asuka; Tsutsumi, Yusuke; Naito, Takaki; Nagae, Masaharu; Nagasawa, Ichiro; Nakamura, Kensuke; Nishimura, Tetsuro; Nunomiya, Shin; Norisue, Yasuhiro; Hashimoto, Satoru; Hasegawa, Daisuke; Hatakeyama, Junji; Hara, Naoki; Higashibeppu, Naoki; Furushima, Nana; Furusono, Hirotaka; Matsuishi, Yujiro; Matsuyama, Tasuku; Minematsu, Yusuke; Miyashita, Ryoichi; Miyatake, Yuji; Moriyasu, Megumi; Yamada, Toru; Yamada, Hiroyuki; Yamamoto, Ryo; Yoshida, Takeshi; Yoshida, Yuhei; Yoshimura, Jumpei; Yotsumoto, Ryuichi; Yonekura, Hiroshi; Wada, Takeshi; Watanabe, Eizo; Aoki, Makoto; Asai, Hideki; Abe, Takakuni; Igarashi, Yutaka; Iguchi, Naoya; Ishikawa, Masami; Ishimaru, Go; Isokawa, Shutaro; Itakura, Ryuta; Imahase, Hisashi; Imura, Haruki; Irinoda, Takashi; Uehara, Kenji; Ushio, Noritaka; Umegaki, Takeshi; Egawa, Yuko; Enomoto, Yuki; Ota, Kohei; Ohchi, Yoshifumi; Ohno, Takanori; Ohbe, Hiroyuki; Oka, Kazuyuki; Okada, Nobunaga; Okada, Yohei; Okano, Hiromu; Okamoto, Jun; Okuda, Hiroshi; Ogura, Takayuki; Onodera, Yu; Oyama, Yuhta; Kainuma, Motoshi; Kako, Eisuke; Kashiura, Masahiro; Kato, Hiromi; Kanaya, Akihiro; Kaneko, Tadashi; Kanehata, Keita; Kano, Ken-ichi; Kawano, Hiroyuki; Kikutani, Kazuya; Kikuchi, Hitoshi; Kido, Takahiro; Kimura, Sho; Koami, Hiroyuki; Kobashi, Daisuke; Saiki, Iwao; Sakai, Masahito; Sakamoto, Ayaka; Sato, Tetsuya; Shiga, Yasuhiro; Shimoto, Manabu; Shimoyama, Shinya; Shoko, Tomohisa; Sugawara, Yoh; Sugita, Atsunori; Suzuki, Satoshi; Suzuki, Yuji; Suhara, Tomohiro; Sonota, Kenji; Takauji, Shuhei; Takashima, Kohei; Takahashi, Sho; Takahashi, Yoko; Takeshita, Jun; Tanaka, Yuuki; Tampo, Akihito; Tsunoyama, Taichiro; Tetsuhara, Kenichi; Tokunaga, Kentaro; Tomioka, Yoshihiro; Tomita, Kentaro; Tominaga, Naoki; Toyosaki, Mitsunobu; Toyoda, Yukitoshi; Naito, Hiromichi; Nagata, Isao; Nagato, Tadashi; Nakamura, Yoshimi; Nakamori, Yuki; Nahara, Isao; Naraba, Hiromu; Narita, Chihiro; Nishioka, Norihiro; Nishimura, Tomoya; Nishiyama, Kei; Nomura, Tomohisa; Haga, Taiki; Hagiwara, Yoshihiro; Hashimoto, Katsuhiko; Hatachi, Takeshi; Hamasaki, Toshiaki; Hayashi, Takuya; Hayashi, Minoru; Hayamizu, Atsuki; Haraguchi, Go; Hirano, Yohei; Fujii, Ryo; Fujita, Motoki; Fujimura, Naoyuki; Funakoshi, Hiraku; Horiguchi, Masahito; Maki, Jun; Masunaga, Naohisa; Matsumura, Yosuke; Mayumi, Takuya; Minami, Keisuke; Miyazaki, Yuya; Miyamoto, Kazuyuki; Murata, Teppei; Yanai, Machi; Yano, Takao; Yamada, Kohei; Yamada, Naoki; Yamamoto, Tomonori; Yoshihiro, Shodai; Tanaka, Hiroshi; Nishida, Osamu

doi:10.1186/s40560-021-00555-7

Journal of Intensive Care

Table 12 Diseases that require control of the source of infection and imaging tests

From: The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020)

		Main tests expected
Region		Simple X-ray	Ultrasonography	CT scan	MRI scan
Head and neck	Brain abscess / meningoencephalitis			○(contrast-enhanced imaging)	○(contrast-enhanced imaging), contrast enhanced fluid-attenuated inversion recovery (FLAIR) (for encephalitis)
Chest	Cervical abscess (descending mediastinitis)		○	○(contrast-enhanced imaging)
	Empyema	○	○	○(contrast-enhanced imaging)
	Infective endocarditis		○^a	○(contrast-enhanced imaging)
Abdomen	Intestinal perforation / peritonitis	○	○	○(contrast-enhanced imaging)
	Cholecystitis / cholangitis		○	○(contrast-enhanced imaging)	○(MRI/MRCP)
	Obstructive urinary tract infection	○	○	○
Other	Necrotic soft tissue infections			○(contrast-enhanced imaging)

^aTransesophageal echocardiography other than the transthoracic wall variant is more accurate in diagnosing infective endocarditis

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ISSN: 2052-0492

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