{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T08:47:52Z","timestamp":1790412472817,"version":"4.1.0"},"reference-count":0,"publisher":"SEMES (Sociedad Espanola de Medicina de Urgencias y Emergencias)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergencias"],"published-print":{"date-parts":[[2026,1,9]]},"abstract":"<jats:p>En noviembre del a\u00f1o 2021 la Surviving Sepsis Campaign (SSC) o \u201cCampa\u00f1a Sobrevivir a la Sepsis\u201d public\u00f3 una actualizaci\u00f3n de sus recomendaciones y directrices de 2016. Posteriormente, hace varios a\u00f1os, en el marco del CIMU 2022\n(33 Congreso Mundial de Medicina de Urgencias) se revis\u00f3 y analiz\u00f3 desde la perspectiva del m\u00e9dico de urgencias y\nemergencias (MUYE) la Gu\u00eda SSC de 2021. Los expertos que realizaron esa tarea tambi\u00e9n consensuaron y publicaron\nalgunos de los puntos clave que m\u00e1s interesaban y preocupaban a los MUYE en relaci\u00f3n a la atencio\u0301n del paciente\ncon infeccio\u0301n grave o sepsis en los servicios de urgencias hospitalarios (SUH), e identificaron distintas propuestas para\nsu mejora o resoluci\u00f3n por parte del GT-LATINFURG (grupo de trabajo latinoamericano para la mejora de la atenci\u00f3n\ndel paciente con infecci\u00f3n en urgencias) en lo que dio a conocer como \u201cLa Declaraci\u00f3n de Guadalajara\u201d. En dicho\ndocumento se desarrollaron las consideraciones y propuestas complementarias o alternativas a la Gu\u00eda SSC de 2021.\nLa primera de ellas era \u201celaborar unas gu\u00edas orientadas a detectar, prevenir la progresi\u00f3n y atender a los pacientes\ncon infecci\u00f3n grave y sepsis en los SUH\u201d. Desde entonces y gracias a m\u00faltiples art\u00edculos originales de investigaci\u00f3n y\nde revisi\u00f3n publicados por GT-LATINFURG e INFURG-SEMES (grupo de estudio de infecciones de la Sociedad Espa\u00f1ola\nde Medicina de Urgencias y Emergencias), hoy en d\u00eda existe cierta evidencia cient\u00edfica generada en los propios SUH o,\nal menos, se ha revisado la existente teniendo en consideraci\u00f3n el papel de estos MUYE. El objetivo principal de este\ndocumento de consenso como presentaci\u00f3n inicial de la primera propuesta de la Declaraci\u00f3n de Guadalajara es analizar, desde la base de la pr\u00e1ctica cl\u00ednica habitual, experiencia, evidencia y perspectiva de los m\u00e9dicos de los SUH, algunos de los puntos clave y distintas controversias para establecer una serie de recomendaciones en la infecci\u00f3n grave y la sepsis mediante un consenso de expertos basadas en la evidencia cient\u00edfica actual.<\/jats:p>","DOI":"10.55633\/s3me\/005.2026","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T07:40:16Z","timestamp":1767944416000},"source":"Crossref","is-referenced-by-count":1,"title":["Recommendations for the Identification and Initial Management of Patients With Severe Infection and Sepsis in Emergency Departments: GT-LATINFURG"],"prefix":"10.55633","author":[{"given":"Agust\u00edn","family":"Juli\u00e1n-Jim\u00e9nez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dari\u0301o Eduardo","family":"Garci\u0301a","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Gonza\u0301lez del Castillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffo","family":"Escalante-Kanashiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Javier","family":"Candel 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Antonio","family":"Gorordo-Delsol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ra\u00fal","family":"L\u00f3pez Izquierdo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Rodrigo Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Rubio D\u00edaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helio","family":"Penna Guimara\u0303es","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Garc\u00eda de Guadiana-Romualdo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Ba\u00f1uelos Huerta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gema","family":"Delgado C\u00e1rdenas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulises","family":"Gonz\u00e1lez-Bascu\u00f1\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roc\u00edo","family":"Lorenzo \u00c1lvarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Gualco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcio","family":"Borges Sa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"33356","published-online":{"date-parts":[[2026,1,9]]},"container-title":["Emergencias"],"original-title":["Recomendaciones para la identificaci\u00f3n y atenci\u00f3n inicial del paciente con infecci\u00f3n grave y sepsis en los servicios de urgencias del GT-LATINFURG"],"deposited":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T07:40:16Z","timestamp":1767944416000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistaemergencias.org\/articulo\/recomendaciones-para-la-identificacion-y-atencion-inicial-del-paciente-con-infeccion-grave-y-sepsis-en-los-servicios-de-urgencias-del-gt-latinfurg\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,9]]},"references-count":0,"URL":"https:\/\/doi.org\/10.55633\/s3me\/005.2026","relation":{},"ISSN":["1137-6821","2386-5857"],"issn-type":[{"value":"1137-6821","type":"print"},{"value":"2386-5857","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,9]]}}}