Harley Amanda, Schlapbach Luregn J, Johnston Amy N B, Massey Debbie
School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, QLD, Australia; Child Health Research Centre, The University of Queensland, and Paediatric Intensive Care Unit, Queensland Children's Hospital, Brisbane, QLD, Australia; Department of Emergency Medicine, Gold Coast University Hospital, Gold Coast, QLD, Australia.
Child Health Research Centre, The University of Queensland, and Paediatric Intensive Care Unit, Queensland Children's Hospital, Brisbane, QLD, Australia; Department of Intensive Care Medicine and Neonatology, and Children's Research Center, University Children's Hospital Zurich, Switzerland.
Australas Emerg Care. 2022 Mar;25(1):23-29. doi: 10.1016/j.auec.2021.03.006. Epub 2021 Apr 15.
Paediatric sepsis remains a leading cause of childhood death. Morbidity is high, with up to one third of children affected developing ongoing, sometimes lifelong sequelae. To address the major burden of sepsis on child health, there is need for a unified approach to care, as outlined in the Australian National Action Plan for sepsis. While the Surviving Sepsis Campaign 2020 guidelines provided evidence-based recommendations for sepsis management in hospital, additional emphasis on families, pre-hospital recognition and post-sepsis care incorporating the multidisciplinary team is paramount to achieve quality patient outcomes. The role of families, paramedics and nurses in recognising and managing paediatric sepsis remains an under-represented area in current literature. The aim of this paper is to critically discuss key challenges surrounding the journey of paediatric sepsis, drawing on contemporary literature to highlight key areas pertinent to recognition and management of sepsis in children. Application of a holistic, patient-centred focus will provide an overview of paediatric sepsis, aiming to inform future development for enhanced healthcare delivery and identify critical areas for further research.
儿童脓毒症仍然是儿童死亡的主要原因。发病率很高，多达三分之一受影响的儿童会出现持续的、有时是终身的后遗症。为应对脓毒症对儿童健康造成的重大负担，需要采取统一的护理方法，如澳大利亚脓毒症国家行动计划中所概述的那样。虽然《2020年拯救脓毒症运动指南》为医院内的脓毒症管理提供了循证建议，但额外强调家庭、院前识别以及纳入多学科团队的脓毒症后护理对于实现优质患者结局至关重要。家庭、护理人员和护士在识别和管理儿童脓毒症方面的作用在当前文献中仍然是一个研究较少的领域。本文的目的是批判性地讨论儿童脓毒症病程中面临的关键挑战，借鉴当代文献突出与儿童脓毒症识别和管理相关的关键领域。应用整体的、以患者为中心的方法将概述儿童脓毒症，旨在为未来改善医疗服务提供信息，并确定进一步研究的关键领域。
