Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University Hospital
Background and Objectives: A sepsis is a challenge for public health, and the protocols are fundamental for management. The aim of this study was to evaluate the implementation of a care protocol for the management of sepsis and to characterize the patients submitted to clinical evaluation. Method:...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Portuguese |
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Universidade de Santa Cruz do Sul
2018-01-01
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| Series: | Revista de Epidemiologia e Controle de Infecção |
| Online Access: | https://online.unisc.br/seer/index.php/epidemiologia/article/view/9974 |
| _version_ | 1819259698283544576 |
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| author | Susan Natielli Scheidt Danielle Bordin Lindomar N de Aguiar Emelly Cristina Tracz Guilherme Arcaro Paulo Vitor Farago Maria Dagmar Rocha |
| author_facet | Susan Natielli Scheidt Danielle Bordin Lindomar N de Aguiar Emelly Cristina Tracz Guilherme Arcaro Paulo Vitor Farago Maria Dagmar Rocha |
| author_sort | Susan Natielli Scheidt |
| collection | DOAJ |
| description | Background and Objectives: A sepsis is a challenge for public health, and the protocols are fundamental for management. The aim of this study was to evaluate the implementation of a care protocol for the management of sepsis and to characterize the patients submitted to clinical evaluation. Method: Descriptive cross-sectional study performed at the Emergency Service (EC) of the Campos Gerais Regional University Hospital. The protocol was elaborated from the literature, focusing on adult patients with criteria of systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock, being described by flowchart. They were part of the study of the patients attended in the EC between july and september of 2016 submitted to the protocol (n=50), being collected by electronic medical records and analyzed descriptively. Results: For the implementation of the protocol, the training was carried out by the EC staff, for acceptance and alignment of knowledge regarding the conceptual, technical and logistical aspects. The protocol consists of 3 steps: initial approach to the patient with sepsis; package 3/6 hours -
hemodynamic optimization and optional package - optimization of central venous oxygen saturation/ central venous pressure. Patients submitted to the protocol were mean of 66 years (SD=±13.71), most of them were 56% women, presented hypotension (96%), creatinine elevation (76%) and leukocytosis (70%) among SIRS, achievement immediate exams (100%), initiation antibiotic therapy (74%) and death (72%). Conclusion: an implementation of the protocol subsidized the precocious identification of patients, qualification of care, operational experience and as characteristics of patients consistent with severe sepsis. |
| first_indexed | 2024-12-23T19:14:09Z |
| format | Article |
| id | doaj.art-266f57233def411d854f361e18255c98 |
| institution | Directory Open Access Journal |
| issn | 2238-3360 |
| language | Portuguese |
| last_indexed | 2024-12-23T19:14:09Z |
| publishDate | 2018-01-01 |
| publisher | Universidade de Santa Cruz do Sul |
| record_format | Article |
| series | Revista de Epidemiologia e Controle de Infecção |
| spelling | doaj.art-266f57233def411d854f361e18255c982022-12-21T17:34:21ZporUniversidade de Santa Cruz do SulRevista de Epidemiologia e Controle de Infecção2238-33602018-01-0181546410.17058/reci.v1i1.99745008Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University HospitalSusan Natielli Scheidt0Danielle Bordin1Lindomar N de Aguiar2Emelly Cristina Tracz3Guilherme Arcaro4Paulo Vitor Farago5Maria Dagmar Rocha6Universidade Estadual de Ponta GrossaUniversidade Estadual de Ponta GrossaHospital Universitário Regional dos Campos Gerais - HURCG, Ponta Grossa, PR, Brasil.Hospitalar do Hospital Universitário Regional dos Campos Gerais - HURCG, Ponta Grossa, PR, Brasil.Universidade Estadual de Ponta Grossa.Universidade Estadual de Ponta Grossa, PR, Brasil.Universidade Estadual de Ponta Grossa.Background and Objectives: A sepsis is a challenge for public health, and the protocols are fundamental for management. The aim of this study was to evaluate the implementation of a care protocol for the management of sepsis and to characterize the patients submitted to clinical evaluation. Method: Descriptive cross-sectional study performed at the Emergency Service (EC) of the Campos Gerais Regional University Hospital. The protocol was elaborated from the literature, focusing on adult patients with criteria of systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock, being described by flowchart. They were part of the study of the patients attended in the EC between july and september of 2016 submitted to the protocol (n=50), being collected by electronic medical records and analyzed descriptively. Results: For the implementation of the protocol, the training was carried out by the EC staff, for acceptance and alignment of knowledge regarding the conceptual, technical and logistical aspects. The protocol consists of 3 steps: initial approach to the patient with sepsis; package 3/6 hours - hemodynamic optimization and optional package - optimization of central venous oxygen saturation/ central venous pressure. Patients submitted to the protocol were mean of 66 years (SD=±13.71), most of them were 56% women, presented hypotension (96%), creatinine elevation (76%) and leukocytosis (70%) among SIRS, achievement immediate exams (100%), initiation antibiotic therapy (74%) and death (72%). Conclusion: an implementation of the protocol subsidized the precocious identification of patients, qualification of care, operational experience and as characteristics of patients consistent with severe sepsis.https://online.unisc.br/seer/index.php/epidemiologia/article/view/9974 |
| spellingShingle | Susan Natielli Scheidt Danielle Bordin Lindomar N de Aguiar Emelly Cristina Tracz Guilherme Arcaro Paulo Vitor Farago Maria Dagmar Rocha Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University Hospital Revista de Epidemiologia e Controle de Infecção |
| title | Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University Hospital |
| title_full | Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University Hospital |
| title_fullStr | Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University Hospital |
| title_full_unstemmed | Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University Hospital |
| title_short | Sepsis Management Protocol Implantation at the Emergency Department of the Campos Gerais Regional University Hospital |
| title_sort | sepsis management protocol implantation at the emergency department of the campos gerais regional university hospital |
| url | https://online.unisc.br/seer/index.php/epidemiologia/article/view/9974 |
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