Frankling Catriona, Patel Jaimin, Sharif Ben, Melody Teresa, Yeung Joyce, Gao Fang, Szakmany Tamas
Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Department of Anesthesia, Intensive Care and Pain Medicine, Division of Population Medicine, Cardiff University, Cardiff, UK.
Indian J Crit Care Med. 2019 Jul;23(7):310-315. doi: 10.5005/jp-journals-10071-23204.
The sepsis six care bundle has been adopted by hospitals in England and Wales for the management of patients with sepsis, with the aim of increasing survival when all elements of the bundle are achieved.
To assess compliance with the Sepsis Six Care Bundle in two acute NHS hospitals in the West Midlands.
Adults admitted to hospital over a 24-hour period were screened for sepsis. Sepsis was identified using the Systemic Inflammatory Response (SIRS) criteria and the quick sequential organ failure assessment (qSOFA) score. Adherence to the Sepsis Six Care Bundle was assessed.
249 patients were screened and 24 patients were identified as having sepsis (9.6%). One patient received all six elements of the bundle. Compliance was highest for giving intravenous fluids (58.3%) and antibiotics (58.3%), and lowest for measuring urine output (16.7%).
Further research is needed to establish the reasons for low compliance.
Frankling C, Patel J, Sharif B, Melody T, Yeung J, Gao F, et al. A Snapshot of Compliance with the Sepsis Six Care Bundle in Two Acute Hospitals in the West Midlands, UK. Indian J Crit Care Med 2019;23(7):310-315.
英格兰和威尔士的医院已采用脓毒症六要素护理集束方案来管理脓毒症患者，目的是在实现集束方案的所有要素时提高生存率。
评估西米德兰兹郡两家急性国民保健服务医院对脓毒症六要素护理集束方案的依从性。
对24小时内入院的成人进行脓毒症筛查。使用全身炎症反应（SIRS）标准和快速序贯器官衰竭评估（qSOFA）评分来识别脓毒症。评估对脓毒症六要素护理集束方案的依从性。
共筛查249例患者，其中24例被确定为患有脓毒症（9.6%）。1例患者接受了集束方案的所有六个要素。静脉输液（58.3%）和使用抗生素（58.3%）的依从性最高，测量尿量的依从性最低（16.7%）。
需要进一步研究以确定依从性低的原因。
Frankling C, Patel J, Sharif B, Melody T, Yeung J, Gao F,等。英国西米德兰兹郡两家急性医院对脓毒症六要素护理集束方案依从性的概况。《印度重症监护医学杂志》2019；23(7):310 - 315。
