{"id":140459,"date":"2020-02-20T08:29:56","date_gmt":"2020-02-20T08:29:56","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%ec%a0%96%ec%82%b0-%ed%98%84%ec%9e%a5-%ea%b2%80%ec%82%acpoc-%ea%b0%92%ec%9d%84-%ed%99%9c%ec%9a%a9%ed%95%98%ec%97%ac-%ec%a1%b0%ea%b8%b0-%ed%8c%a8%ed%98%88%ec%a6%9d-%ec%a7%84%eb%8b%a8-%ec%a0%9c\/"},"modified":"2026-01-23T09:20:48","modified_gmt":"2026-01-23T09:20:48","slug":"delivering-early-sepsis-diagnosis-by-harnessing-lactate-point-of-care-poc-values","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/ko\/disease-area\/sepsis\/delivering-early-sepsis-diagnosis-by-harnessing-lactate-point-of-care-poc-values\/","title":{"rendered":"\uc816\uc0b0 \ud604\uc7a5 \uac80\uc0ac(POC) \uac12\uc744 \ud65c\uc6a9\ud558\uc5ec \uc870\uae30 \ud328\ud608\uc99d \uc9c4\ub2e8 \uc81c\uacf5"},"content":{"rendered":"<p>\ud328\ud608\uc99d\uc740 \uc138\uacc4\uc801\uc778 \uc0b4\uc778\uc790\ub77c\uace0 \ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. The Lancet\uc9c0 2018\ub144 11\uc6d4\ud638\uc5d0 \ub530\ub974\uba74\u00a0\uc804 \uc138\uacc4\uc801\uc73c\ub85c \ub9e4\ub144 \uc57d 2,700\ub9cc \uba85\uc774 \ud328\ud608\uc99d\uc5d0 \uac78\ub9ac\uace0, \uc57d 800\ub9cc \uba85\uc774 \ud328\ud608\uc99d\uc73c\ub85c \uc0ac\ub9dd\ud569\ub2c8\ub2e4[1].\u00a0\uc774\ub85c \uc778\ud574 1,900\ub9cc \uba85\uc774 \uac10\uc5fc\uc758 \uc7a5\uae30\uc801\uc778 \uacb0\uacfc\ub97c \uc548\uace0 \uc0b4\uc544\uac11\ub2c8\ub2e4. \ud0dc\uad6d\uc5d0\uc11c\ub9cc \uc5f0\uac04 17\ub9cc 5,000\uac74\uc758 \ud328\ud608\uc99d \uac10\uc5fc\uacfc \uc57d 45,000\uba85\uc758 \uc0ac\ub9dd\uc774 \ubc1c\uc0dd\ud569\ub2c8\ub2e4. \uc774\ub294 \uae09\uc131 ST \uc0c1\uc2b9 MI\uc640 \ub1cc\uc878\uc911\uc744 \ud569\ud55c \uc0ac\ub9dd\ub960\ubcf4\ub2e4 \ub192\uc2b5\ub2c8\ub2e4. \uc774\ub7ec\ud55c \uc0ac\ub9dd\uc758 \ub300\ubd80\ubd84\uc740 \uc870\uae30 \ubc1c\uacac\uacfc \uc9c4\ub2e8\uc73c\ub85c \uc608\ubc29\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud0dc\uad6d Ministry of Public Health\ub294 2019\ub144 \uc804\ub7b5 \uacc4\ud68d\uc5d0\uc11c 2022\ub144\uae4c\uc9c0 \ud328\ud608\uc99d \uad00\ub828 \uc0ac\ub9dd\ub960\uc744 22% \ubbf8\ub9cc\uc73c\ub85c \uc904\uc774\uace0 2018\ub144\uae4c\uc9c0 \uc911\uac04 \ubaa9\ud45c\ub97c 30% \ubbf8\ub9cc\uc73c\ub85c \uc904\uc774\uaca0\ub2e4\uace0 \uc57d\uc18d\ud588\uc2b5\ub2c8\ub2e4. \uadf8\ub7ec\ub098 \ud604\uc7ac \ube44\uc728\uc740 \uc911\uac04 \ubaa9\ud45c\uce58\ub97c \uacc4\uc18d \ucd08\uacfc\ud558\uace0 \uc788\uc73c\uba70 \uc2ec\uac01\ud55c \uc9c0\uc5ed\uc0ac\ud68c \ud68d\ub4dd \ud328\ud608\uc99d \uc0ac\ub9dd\ub960\uc740 \uc57d 32%\ub97c \ub9f4\ub3cc\uace0 \uc788\uc2b5\ub2c8\ub2e4. \ubcf4\uac74\ubd80\uc758 \ubaa9\ud45c\ub97c \ub2ec\uc131\ud558\uace0 \ud658\uc790\uc5d0 \ub300\ud55c \uce58\ub8cc\ub97c \uac1c\uc120\ud558\uae30 \uc704\ud574 \ubcd1\uc6d0\uc740 \uc758\uc0ac\uac00 \ud328\ud608\uc99d\uacfc \ud328\ud608\uc131 \uc1fc\ud06c\ub97c \uc815\ud655\ud558\uace0 \uc870\uae30\uc5d0 \uc9c4\ub2e8\ud560 \uc218 \uc788\ub294 \uc9c4\ub2e8 \ub9e4\uac1c\ubcc0\uc218\ub97c \ud64d\ubcf4\ud574\uc57c \ud569\ub2c8\ub2e4. \ud0dc\uad6d Society for Critical Care Medicine\uc740 \uae30\uc874 \uc9c0\uce68\uc744 \uac80\ud1a0\ud558\uba74\uc11c \ud328\ud608\uc99d \uc870\uae30 \uc120\ubcc4\uac80\uc0ac\ub85c (a) \uc911\uc99d\ub3c4(SOS) \uc810\uc218 4\uc810 \uc774\uc0c1 \ud0d0\uc0c9, (b) \uc816\uc0b0\uc5fc \uc218\uce58 \u22652mmol\/L \ub4f1\uc758 \ub450 \uac00\uc9c0 \ub9e4\uac1c\ubcc0\uc218\ub97c \ud3ec\ud568\ud560 \uac83\uc744 \uad8c\uace0\ud588\uc2b5\ub2c8\ub2e4.Phitsanulok Hospital\uc758 \ud328\ud608\uc99d \uce58\ub8cc \ud300\uc740 \uc774\ub7ec\ud55c \uad8c\uc7a5 \uc0ac\ud56d\uc5d0 \ub530\ub77c \uba3c\uc800 \ud608\uc911 \uc816\uc0b0\uc5fc \uc218\uce58\uc640 SOS \uc810\uc218\ub97c \uae30\ubc18\uc73c\ub85c \ud658\uc790\ub97c \uacc4\uce35\ud654\ud558\ub294 \uc0c8\ub85c\uc6b4 \ud504\ub85c\ud1a0\ucf5c\uc744 \uac1c\ubc1c\ud588\uc2b5\ub2c8\ub2e4. 4\uc810\uc744 \ucd08\uacfc\ud558\ub294 SOS \uc810\uc218\ub97c \uac16\ub294 \uc784\uc758\uc758 \ud658\uc790\ub294 \ud328\ud608\uc99d\uc758 \ub192\uc740 \uc704\ud5d8\uc5d0 \ucc98\ud574 \uc788\ub294 \uac83\uc73c\ub85c \uac04\uc8fc\ub418\uc5c8\uc2b5\ub2c8\ub2e4. <\/p>\n<p style=\"margin: 0in 0in 8pt;\"><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-84048\" src=\"\/wp-content\/uploads\/2020\/02\/Sepsis-POC-protocols_0-780.png\" alt=\"\ud328\ud608\uc99d POC \ud504\ub85c\ud1a0\ucf5c\" width=\"1195\" height=\"814\" data-entity-type=\"file\" data-entity-uuid=\"fb9c8137-22f6-42a6-811a-43e19bfeb6e0\" title=\"\" srcset=\"https:\/\/labinsights.com\/app\/uploads\/2020\/02\/Sepsis-POC-protocols_0-780.png 1195w, https:\/\/labinsights.com\/app\/uploads\/2020\/02\/Sepsis-POC-protocols_0-780-295x201.png 295w, https:\/\/labinsights.com\/app\/uploads\/2020\/02\/Sepsis-POC-protocols_0-780-1024x698.png 1024w, https:\/\/labinsights.com\/app\/uploads\/2020\/02\/Sepsis-POC-protocols_0-780-768x523.png 768w\" sizes=\"(max-width: 1195px) 100vw, 1195px\" \/><\/p>\n<p> \uc5f0\uad6c\uc5d0\uc11c \uc815\ub9e5, \ub3d9\ub9e5 \ubc0f \ubaa8\uc138\ud608\uc5d0\uc11c \uc816\uc0b0\uc5fc \uc218\uce58\uac00 \uc815\ud655\ud558\uac8c \uac80\ucd9c\ub420 \uc218 \uc788\uc74c\uc774 \ubc1d\ud600\uc9d0\uc5d0 \ub530\ub77c[2],\u00a0\uc6b0\ub9ac\ub294 \uc9c0\uc5ed \uc0ac\ud68c \ubcd1\uc6d0\uc5d0 \uc704\uce58\ud55c \ud604\uc7a5 \uc9c4\ub8cc(POC) \uac80\uc0ac \uc11c\ube44\uc2a4\ub97c \uc6b0\ub9ac \ub124\ud2b8\uc6cc\ud06c\uc5d0 \ud1b5\ud569\ud558\uae30\ub85c \uacb0\uc815\ud588\uc2b5\ub2c8\ub2e4. \uc774\ub7ec\ud55c \ud734\ub300\uc6a9 POC \uc7a5\uce58\ub294 \ub2e8 1\ubd84 \ub9cc\uc5d0 \uacb0\uacfc\ub97c \ubc18\ud658\ud569\ub2c8\ub2e4. \uc774\ub294 \uae30\uc874\uc758 \uac80\uc0ac\uc2e4 \uae30\ubc18 \uc11c\ube44\uc2a4\uc5d0\uc11c \ub2ec\uc131\ud560 \uc218 \uc788\ub294 \uac83\ubcf4\ub2e4 \ud6e8\uc52c \ube60\ub985\ub2c8\ub2e4. \uc77c\ubd80 \uc5f0\uad6c\uc5d0 \ub530\ub974\uba74 \uc774\ub7ec\ud55c POC \uc7a5\uce58\ub294 \uc804\ud1b5\uc801\uc778 \uc2e4\ud5d8\uc2e4 \uae30\ubc18 \ubd84\uc11d\ubcf4\ub2e4 \uc815\ud655\ub3c4\uac00 \ub0ae\uc744 \uc218 \uc788\uc2b5\ub2c8\ub2e4[3]. POC \uc7a5\uce58\ub97c \uc0ac\uc6a9\ud558\ub294 13\uac1c \ubcd1\uc6d0\uc5d0 \ub300\ud55c \ubaa8\ub2c8\ud130\ub9c1\uc5d0\uc11c \ud608\uc911 \uc816\uc0b0\uc5fc \uc810\uc218\uac00 \ud5c8\uc6a9 \uac00\ub2a5\ud55c \ubc94\uc704 \ub0b4\uc5d0 \uc788\ub294 \uac83\uc73c\ub85c \ud655\uc778\ub418\uc5c8\uc73c\uba70, \ub530\ub77c\uc11c \uc774\ub7ec\ud55c \uc7a5\uce58\ub97c \uc0ac\uc6a9\ud558\uba74 \ub354 \ube60\ub978 \ud328\ud608\uc99d \uc9c4\ub2e8\uc758 \uc774\uc810\uc744 \uc5bb\uc744 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \uc0c8\ub85c\uc6b4 \ub85c\uceec \ud504\ub85c\ud1a0\ucf5c\uc744 \uc2dc\ud589\ud55c \ud6c4 \ud328\ud608\uc99d \ud658\uc790\uc758 \uc0ac\ub9dd\ub960\uc740 27%\ub97c \uc57d\uac04 \ub118\uc5c8\uc73c\uba70 \uc911\uac04 \ubaa9\ud45c\uc778 30% \ubbf8\ub9cc\ubcf4\ub2e4 \ud604\uc800\ud788 \ub0ae\uc558\uc2b5\ub2c8\ub2e4. \uc774\uc640 \uac19\uc740 \uad11\ubc94\uc704\ud55c \ud504\ub85c\ud1a0\ucf5c\uc744 \ud1b5\ud574 \uc774 \uac10\uc5fc\uc73c\ub85c \uc778\ud55c \ubd88\ud544\uc694\ud55c \uc0ac\ub9dd\uc744 \ubc29\uc9c0\ud558\uace0 2022\ub144\uae4c\uc9c0 \uc0ac\ub9dd\ub960\uc774 22% \ubbf8\ub9cc\uc774\ub77c\ub294 \uc57c\uc2ec\ucc2c \uad6d\uac00 \ubaa9\ud45c\ub97c \ub2ec\uc131\ud558\ub294 \ub370 \uc9c4\uc804\uc744 \uc774\ub8f0 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ud328\ud608\uc99d\uc740 \uc870\uae30 \uc9c4\ub2e8 \uc2dc \uce58\ub8cc\ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. \ucd5c\uc2e0 POC \uac80\uc0ac \uae30\ub2a5\uc744 \uac80\uc0ac\uc2e4 \uc758\ud559 \ud504\ub85c\uc138\uc2a4\uc5d0 \ud1b5\ud569\ud558\uba74 \ud658\uc790\uc5d0\uac8c \ub354 \ub098\uc740 \uacb0\uacfc\ub97c \uc81c\uacf5\ud558\uace0 \uc758\ub8cc \uc2dc\uc2a4\ud15c\uc5d0 \ub300\ud55c \ubd80\ub2f4\uc744 \uc904\uc77c \uc218 \uc788\uc2b5\ub2c8\ub2e4. <em>\ucc38\uace0\ubb38\ud5cc:<\/em> <\/p>\n<p style=\"margin: 0in 0in 8pt;\"><a href=\"https:\/\/www.thelancet.com\/journals\/lanres\/article\/PIIS2213-2600(18)30362-X\/fulltext\" target=\"_blank\" rel=\"noopener\">[1]<\/a> Gilbert, A,J. 2018. Sepsis care bundles: a work in progress.<em> The Lancet<\/em>, 6(11), pp.821-823.<\/p>\n<p style=\"margin: 0in 0in 8pt;\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21721444\/\" target=\"_blank\" rel=\"noopener\">[2]<\/a> Pattharanitima, P., et al., 2011. Correlation of arterial, central venous and capillary lactate levels in septic shock patients. <i>Journal of the Medical Association of Thailand,\u00a0<\/i>94 supplementary 1, S175-180.<\/p>\n<p style=\"margin: 0in 0in 8pt;\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5987430\/\" target=\"_blank\" rel=\"noopener\">[3] <\/a>Stoll, D., et al., 2018.\u00a0Capillary and venous lactate measurements with a handheld device compared to venous blood-gas analysis for emergency patients.\u00a0<i>Scandinavian journal of trauma, resuscitation and emergency medicine,\u00a0<\/i>26(1), pp.47.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\ud328\ud608\uc99d\uc740 \uc138\uacc4\uc801\uc778 \uc0b4\uc778\uc790\ub77c\uace0 \ud560 \uc218 \uc788\uc2b5\ub2c8\ub2e4. The Lancet\uc9c0 2018\ub144 11\uc6d4\ud638\uc5d0 \ub530\ub974\uba74\u00a0\uc804 \uc138\uacc4\uc801\uc73c\ub85c \ub9e4\ub144 \uc57d 2,700\ub9cc \uba85\uc774 \ud328\ud608\uc99d\uc5d0 \uac78\ub9ac\uace0, \uc57d 800\ub9cc \uba85\uc774 \ud328\ud608\uc99d\uc73c\ub85c \uc0ac\ub9dd\ud569\ub2c8\ub2e4[1].\u00a0\uc774\ub85c \uc778\ud574 1,900\ub9cc \uba85\uc774 \uac10\uc5fc\uc758 \uc7a5\uae30\uc801\uc778 \uacb0\uacfc\ub97c \uc548\uace0 \uc0b4\uc544\uac11\ub2c8\ub2e4. \ud0dc\uad6d\uc5d0\uc11c\ub9cc \uc5f0\uac04 17\ub9cc 5,000\uac74\uc758 \ud328\ud608\uc99d \uac10\uc5fc\uacfc \uc57d 45,000\uba85\uc758 \uc0ac\ub9dd\uc774 \ubc1c\uc0dd\ud569\ub2c8\ub2e4. \uc774\ub294 \uae09\uc131 ST \uc0c1\uc2b9 MI\uc640 \ub1cc\uc878\uc911\uc744 \ud569\ud55c \uc0ac\ub9dd\ub960\ubcf4\ub2e4 \ub192\uc2b5\ub2c8\ub2e4. \uc774\ub7ec\ud55c \uc0ac\ub9dd\uc758 \ub300\ubd80\ubd84\uc740 \uc870\uae30 \ubc1c\uacac\uacfc [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":84063,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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