Casey Georgina
Nurs N Z. 2016 Sep;22(7):20-24.
SEPSIS IS a leading cause of preventable death, the incidence of which has increased markedly over the past 40 years. While mortality rates are improving, one-fifth of patients with severe sepsis die. Early identification and intervention arekey to survival - delayed care for inpatients who develop sepsis is the main reason why this group has a higher mortality rate than people admitted with sepsis. Internationally, the Surviving Sepsis Campaign promotes screening of "every patient, every shift, every day" for sepsis, while new United Kingdom guidelines recommend health practitioners ask, "Could this be sepsis?" for any patient with signs of a possible infection. Nurses are best placed to identify sepsis early and ensure timely treatment. A thorough understanding of the events underlying development of sepsis, and its risks, will help nurses in this life-saving role. The goal is that all nurses, in all settings, consider, as a first priority, the possibility of sepsis in any infant, child or adult presenting with an infection.
脓毒症是可预防死亡的主要原因，在过去40年中其发病率显著上升。虽然死亡率正在下降，但五分之一的严重脓毒症患者死亡。早期识别和干预是生存的关键——脓毒症住院患者护理延迟是该群体死亡率高于因脓毒症入院患者的主要原因。在国际上，拯救脓毒症运动提倡“每班、每天、对每位患者”进行脓毒症筛查，而英国新指南建议医护人员对任何有可能感染迹象的患者询问“这会是脓毒症吗？”护士最有条件早期识别脓毒症并确保及时治疗。全面了解脓毒症发生的潜在事件及其风险，将有助于护士发挥这一挽救生命的作用。目标是所有环境中的所有护士都将任何出现感染的婴儿、儿童或成人患脓毒症的可能性作为首要考虑因素。
