Parfitt Sheryl E, Bogat Mary L, Roth Cheryl
Sheryl E. Parfitt is a Clinical Educator, HonorHealth Scottsdale Shea Medical Center, Scottsdale, AZ. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2017 Jul/Aug;42(4):206-209. doi: 10.1097/NMC.0000000000000341.
Sepsis during pregnancy is one of the five leading causes of maternal mortality worldwide. Early recognition and prompt treatment of maternal sepsis is necessary to improve patient outcomes. Patient education on practices that reduce infections may be helpful in decreasing rates of sepsis. Education of nurses about early signs and symptoms of sepsis in pregnancy and use of obstetric-specific tools can assist in timely identification and better outcomes. Although the Surviving Sepsis Campaign (SSC) criteria for diagnosis of sepsis in the general population are not pertinent for obstetric patients, their treatment bundles (guidelines) are applicable and can be used to guide care of obstetric patients who develop sepsis.This article is the third in a series of three that discuss the importance of sepsis and septic shock in pregnancy. This article includes case studies, treatment, prognosis, education, and prevention of maternal sepsis.
孕期脓毒症是全球孕产妇死亡的五大主要原因之一。早期识别并及时治疗孕产妇脓毒症对于改善患者预后至关重要。对患者进行减少感染的相关教育可能有助于降低脓毒症发生率。对护士进行孕期脓毒症早期体征和症状以及使用产科专用工具的教育，有助于及时识别并取得更好的治疗效果。尽管脓毒症存活行动（SSC）针对普通人群的脓毒症诊断标准不适用于产科患者，但其治疗集束（指南）是适用的，可用于指导发生脓毒症的产科患者的护理。本文是三篇系列文章中的第三篇，讨论脓毒症和感染性休克在孕期的重要性。本文包括孕产妇脓毒症的病例研究、治疗、预后、教育及预防。
