SEPSE EM PEDIATRIA: UMA FERRAMENTA DIGITAL PARA A GESTÃO DO ATENDIMENTO DE PRIMEIRA HORA

Objective: To develop a digital tool, in a free platform, to optimize the management of first-hour sepsis care in pediatrics, aligned with the protocol of the American College of Critical Care Medicine (ACCCM). Method: A Google form was developed as a management and patient safety tool based on indicators of inadequacy regarding the protocol follow-up and meetings with the team of the Pediatric Intensive Care Unit. Initially, the local first-hour sepsis care was analyzed with a retrospective study of 34 patients with a median age of 12.2 months (0.2-185.2) was used, of which 19 (55.9%) were male, having 20 (58.8%) the diagnosis of severe sepsis and 14 (41.2%) of septic shock. Results: Of the 34 patients, two died (5.9%), and 22 (64.7%) had no follow-up of at least one of the ACCCM main recommendations. Based on this, the Google form was developed with 25 sessions that conduct the specific attendance and allow the flowcharts consultation by collecting the main data of the first-hour care in a targeted, educational, practical, fast, voluntary and anonymous way, besides providing immediate feedback to both the physician and the Unit. Conclusions: The retrospective study indicates possible inconsistency of the data record and not the lack of follow-up of the recommended protocol, since mortality was much lower than expected (5.9% versus 10-20%). Therefore, the digital tool could answer this issue allowing easily registration of essential information in the treatment of sepsis in pediatric care, as well as the management of this data, being easily replicable. Recebido em: 15 de Junho de 2020 Aceito em: 13 de Novembro de 2020.