Compliance with maternal sepsis guidelines in a tertiary hospital in the Netherlands.
Hosp Pract (1995)
; 52(1-2): 29-33, 2024.
Article
en En
| MEDLINE
| ID: mdl-38407122
ABSTRACT
OBJECTIVES:
Sepsis is a common cause of maternal mortality and morbidity. Early detection and rapid management are essential. In this study, we evaluate the compliance with the implemented maternity-specific Early Warning Score (EWS), Rapid Response Team (RRT) protocol and the Surviving Sepsis Campaign (SSC) Hour-1 Bundle in a tertiary hospital in the Netherlands.METHODS:
We performed a retrospective patient chart review from July 2019 to June 2020 at the Leiden University Medical Centre. We included women who received therapeutic antibiotics and were admitted for at least 24 hours.RESULTS:
We included 240 women ten were admitted twice and one woman three times, comprising 252 admissions. A clinical diagnosis of sepsis was made in 22 women. The EWS was used in 29% (n = 73/252) of admissions. Recommendations on the follow-up of the EWS were carried out in 53% (n = 46/87). Compliance with the RRT protocol was highest for assessment by a medical doctor within 30 minutes (n = 98/117, 84%) and lowest for RRT involvement (n = 7/23, 30%). In women with sepsis, compliance with the SSC Bundle was highest for acquiring blood cultures (n = 19/22, 85%), while only 64% (n = 14/22) received antibiotics within 60 minutes of the sepsis diagnosis.CONCLUSION:
The adherence to the maternity-specific EWS and the SSC Hour-1 bundle was insufficient, even within this tertiary setting in a high-income country.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
/
4_TD
/
5_ODS3_mortalidade_materna
Problema de salud:
1_geracao_evidencia_conhecimento
/
2_mortalidade_materna
/
4_sepsis
/
5_Complications_during_labor_delivery
/
5_infections
Asunto principal:
Sepsis
/
Adhesión a Directriz
/
Centros de Atención Terciaria
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Región como asunto:
Europa
Idioma:
En
Revista:
Hosp Pract (1995)
Asunto de la revista:
HOSPITAIS
Año:
2024
Tipo del documento:
Article
País de afiliación:
Países Bajos