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高危产妇医学参考中心的脓毒症治疗方案依从性。

Adherence to sepsis protocol in a high-risk maternity reference center.

机构信息

Universidade Federal de Alagoas. Maceió, Alagoas, Brazil.

出版信息

Rev Bras Enferm. 2024 Sep 6;77(4):e20230453. doi: 10.1590/0034-7167-2023-0453. eCollection 2024.

DOI:10.1590/0034-7167-2023-0453
PMID:39258607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11382675/
Abstract

OBJECTIVE

To describe the adherence to the sepsis protocol by obstetric nurses in the obstetric triage of a high-risk maternity reference center.

METHODS

This was a quantitative, documental, and retrospective study involving 105 pregnant women treated in obstetric triage under sepsis criteria. Data were collected through electronic medical records using structured forms and were organized into tables employing descriptive statistics. This research adhered to ethical principles concerning human studies.

RESULTS

Of the checklists for initiating the SEPSIS protocol by obstetric nurses, 105 were identified. Regarding the protocol steps performed, lactate was collected in 97.1% of cases and blood cultures in 98.1%, antibiotic therapy was administered in 94.3%, and hydration was carried out in 51.4% of the cases.

CONCLUSION

The initiation of the sepsis protocol for all women meeting the criteria was confirmed. However, the steps were not fully implemented as recommended by the institutional protocol, and the recommended broad-spectrum antibiotic was not administered.

摘要

目的

描述高危产妇参考中心产科分诊中产科护士对脓毒症护理协议的遵守情况。

方法

这是一项定量、文献回顾和回顾性研究,共纳入 105 名根据脓毒症标准在产科分诊中接受治疗的孕妇。通过电子病历使用结构化表格收集数据,并采用描述性统计组织成表格。本研究遵循了涉及人类研究的伦理原则。

结果

确定了 105 份产科护士启动 SEPSIS 协议的检查表。关于执行的协议步骤,97.1%的患者采集了乳酸,98.1%的患者采集了血培养,94.3%的患者给予了抗生素治疗,51.4%的患者进行了补液。

结论

确认了对所有符合标准的女性启动脓毒症护理协议。然而,并未完全按照机构协议推荐的方式实施这些步骤,也未给予推荐的广谱抗生素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffc2/11382675/c34104a2896e/0034-7167-reben-77-04-e20230453-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffc2/11382675/c34104a2896e/0034-7167-reben-77-04-e20230453-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffc2/11382675/c34104a2896e/0034-7167-reben-77-04-e20230453-gf01-pt.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffc2/11382675/c34104a2896e/0034-7167-reben-77-04-e20230453-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffc2/11382675/c34104a2896e/0034-7167-reben-77-04-e20230453-gf01-pt.jpg

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Frequency and management of maternal infection in health facilities in 52 countries (GLOSS): a 1-week inception cohort study.52 个国家医疗机构中产妇感染的频率和管理情况(GLOSS):一项为期一周的发病队列研究。
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Perceptions and expectations of pregnant women about the type of birth.孕妇对分娩方式的认知与期望。
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Decisional issues in antibiotic prescribing in French nursing homes: An ethnographic study.法国养老院抗生素处方中的决策问题:一项人种志研究。
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Perinatal outcome in women with bacterial sepsis: A cross-sectional study from West China.患有细菌性败血症的女性围产期结局:来自中国西部的一项横断面研究。
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The utility of systemic inflammatory response syndrome (SIRS) for diagnosing sepsis in the immediate postpartum period.全身炎症反应综合征(SIRS)在产后即刻诊断脓毒症中的作用。
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