Sepsis & Antimicrobial Stewardship Resource Center

Translating the 2026 Surviving Sepsis Campaign into Clinical Practice

EXPERT PERSPECTIVES · INFECTION UNCOVERED PCT PODCAST SERIES

Translating Guidelines into Clinical Practice

This educational podcast series brings together internationally recognized experts to discuss the evolving role of biomarkers, antimicrobial stewardship, and evidence-based infection management.

Episode 1

Understanding Sepsis and the Future of Infection Care

Dr. Ron Daniels

Dr. Ross Stevenson and Dr. Ron Daniels discuss sepsis, including risk factors, warning signs, prevention, public awareness, and how advanced diagnostics and AI could transform infection care.

Episode 2

Sepsis and Antimicrobial Resistance: Turning Awareness Into Action

Dr. Ron Daniels

Dr. Ross Stevenson and Dr. Ron Daniels explore sepsis awareness, patient advocacy, antimicrobial resistance, survivor support, and faster diagnostics.

Episode 3

Diagnosing Sepsis: The Role of Clinical Scores, Cultures, Biomarkers, and AI

Luke Moore

Dr. Ross Stevenson and Luke Moore discuss the challenges of diagnosing sepsis and the role of clinical scores, cultures, biomarkers, AI, and diagnostic stewardship.

Episode 4

Antimicrobial Stewardship: Prescribing, De-escalation, and Patient Safety

Dr. Ceri Phillips

Dr. Ross Stevenson and Dr. Ceri discuss responsible antibiotic prescribing, de-escalation, biomarkers, antimicrobial resistance, and reviewing treatment by 72 hours.

Episode 5

Stopping Antibiotics Safely: Data-Driven De-escalation and Shared Decision-Making

Luke Moore

Dr. Ross Stevenson and Luke Moore discuss using clinical data, personalized treatment, and shared decision-making to stop antibiotics safely.

Episode 6

Using Procalcitonin to Support Antibiotic Decisions

Dr. Ceri Phillips

Dr. Ross Stevenson and Dr. Ceri Phillips discuss how procalcitonin can support antibiotic decisions, monitor infection response, guide testing, and strengthen antimicrobial stewardship.

The six-episode editorial strategy covers the full continuum from sepsis awareness and antimicrobial resistance to biomarker implementation and stewardship in routine clinical practice.

Optimizing Antibiotic Duration in Adults with Sepsis

The 2026 Surviving Sepsis Campaign reinforces that antimicrobial stewardship is an integral component of high-quality sepsis care.

For adults with sepsis or septic shock who have achieved adequate source control and whose optimal duration of antibiotic therapy remains uncertain, the guideline suggests using procalcitonin together with clinical evaluation to support decisions on antibiotic discontinuation.

Explore the latest recommendations, expert discussions, and scientific evidence supporting antibiotic optimization in sepsis.

Why This Matters

Antimicrobial stewardship is now embedded throughout sepsis management. The 2026 SSC emphasizes:

  • Early recognition
  • Appropriate source control
  • Antimicrobial de-escalation
  • Biomarker-supported discontinuation when uncertainty remains
  • Rapid antimicrobial therapy
  • Daily reassessment
  • Shorter treatment duration whenever appropriate

The guideline recognizes stewardship as an essential part of improving outcomes while reducing unnecessary antibiotic exposure.

KEY RECOMMENDATION

Antibiotic Discontinuation — What Changed?

The 2026 Surviving Sepsis Campaign states: for adults with an initial diagnosis of sepsis or septic shock, adequate source control, and uncertain optimal treatment duration, the guideline suggests using procalcitonin together with clinical evaluation to decide when antimicrobial therapy can be discontinued.

Recommendation strength: this recommendation builds upon previous guidance and incorporates additional evidence, including the ADAPT-Sepsis randomized trial supporting safe reduction in antibiotic duration through PCT-aided discontinuation strategies.

SSC 2026

Key Messages from the Guideline

Sepsis remains a clinical diagnosis

Clinical judgment remains the foundation of diagnosis and treatment. No single biomarker should be used to diagnose or exclude sepsis.

Antibiotics should be started early
For patients with septic shock or probable/confirmed sepsis, antimicrobial therapy should begin immediately, ideally within one hour of recognition.
Stewardship begins after initiation
Clinicians should continuously reassess patients, evaluate alternative diagnoses, and optimize antimicrobial therapy throughout the patient's clinical course.
Antibiotic duration should be individualized
When treatment duration is uncertain following adequate source control, clinical evaluation may be complemented by serial procalcitonin assessment to support safe discontinuation decisions.

Featured Publications

LIBRARY

Explore Scientific Resources

2026 Surviving Sepsis Campaign
2026 Surviving Sepsis Campaign
Antibiotic Stewardship
Evidence supporting optimized duration — including ADAPT, SAPS and PROGRESS.
Biomarker Evidence
Key clinical publications on procalcitonin-guided decision-making.
Looking for practical implementation?
Explore expert interviews, real-world perspectives and evidence summaries designed to support antibiotic stewardship in everyday clinical practice.