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Sepsis guideline backlash and antibiotic-timing skepticism

March 25, 2026Intensive Care Medicine, π™Ÿπ™€π™¨π™ 𝙛𝙖𝙧𝙠𝙖𝙨, Critical Care Reviews

Bassam Ghanem highlights that IDSA endorsed the Surviving Sepsis Campaign 2026 guidelines, expressing skepticism and tagging prominent critics.

The 2026 Update of the Surviving #Sepsis Campaign Guidlines is now online!
kudos to @ACEPNation for calling out the Surviving Sepsis Campaign 2026 guidelines
the concept that mandating antibiotics within 1 hour of sepsis diagnosis would improve outcomes is deficient in methodological rigor
Procalcitonin testing combined with NEWS2 evaluation compared with usual care
Surviving Sepsis 2026 is here & it's even more loony tunes than I was expecting.
They're promoting pre-hospital ABX
preemptive broad-spectrum IV antibiotics for intubated patients.
an antimicrobial stewardship nightmare.
Prehospital abx? What’s next, post discharge Zosyn and Zyvox?
Waiting for you, @BradSpellberg, and other antimicrobial stewards to see the bits about pre-hospital antibiotics
I hope nobody takes this seriously
If they do, it will be a stewardship apocalypse
Why am I not surprised?
IDSA has just endorsed the Surviving Sepsis Campaign (SSC) 2026 guidelines (adult & pediatric).
New podcast episode! Find out why ACEP declined to endorse a new set of guidelines for treating sepsis in EDs.
ACEP Pres. Tony Cirillo, MD, FACEP explains why it’s important that EPs have an accurate standard of care to treat sepsis in the ED.
Intensive Care Medicine
π™Ÿπ™€π™¨π™ 𝙛𝙖𝙧𝙠𝙖𝙨
Critical Care Reviews
Josh McGough, MD
Antibiotic Steward Bassam Ghanem πŸ…± CπŸ†”πŸ…Ώ
ACEP Members
sepsisguidelinesID

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