Cuándo operar un paciente con sepsis

Regardless its origin, intra-abdominal infection is the second cause of death due to sepsis in critically ill patients and remains a challenge for the treating physician due to the many factors affecting the approach of a rational management. The increase of the resistance rate to conventional antimicrobial therapy of nosocomial organisms, different opinions on how to work out the dilemma of defining a medical or surgical treatment and the lack of valid clinical trials providing guidelines which change the disease's course, makes this problem a subject of constant discussion and discrepancy between intervening specialists. This review updates the concepts of various multidisciplinary groups which will help define the conduct for appropriate handling of this serious clinical condition.