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

IF 1.2 Q3 NURSING

Revista Brasileira De Enfermagem Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI:10.1590/0034-7167-2023-0453

Marianny Medeiros de Moraes, Amuzza Aylla Pereira Dos Santos, Juliana Duque da Silva de Sá Leitão, Kassiara Ferreira Felix de Lima Farias, Nathalya Anastácio Dos Santos Silva, Núbia Vanessa da Silva Tavares, Kariane Omena Ramos Cavalcante de Melo, Isabel Comassetto

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引用次数: 0

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.

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高风险产科参考中心对败血症治疗方案的遵守情况。

目的描述一家高风险产科参考中心的产科护士在产科分诊中对败血症方案的遵守情况：这是一项定量、记录和回顾性研究，共有 105 名孕妇在产科分诊中按照败血症标准接受了治疗。数据通过结构化表格的电子病历收集，并采用描述性统计方法整理成表。这项研究遵守了人类研究伦理原则：结果：在产科护士启动 SEPSIS 方案的核对表中，确定了 105 项。关于所执行的方案步骤，97.1%的病例收集了乳酸，98.1%的病例进行了血液培养，94.3%的病例进行了抗生素治疗，51.4%的病例进行了水合治疗：结论：对所有符合标准的产妇启动败血症方案的做法得到了确认。结论：对所有符合标准的产妇启动脓毒症治疗方案的做法得到了确认，但并没有按照机构治疗方案的建议全面实施这些步骤，也没有使用建议的广谱抗生素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Brasileira De Enfermagem NURSING-

CiteScore

2.30

自引率

7.70%

发文量

477

审稿时长

21 weeks

期刊介绍： The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.