脓毒症管理审核

Jerin Mathew Varghese
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引用次数: 0

摘要

目的本研究的目的是评估脓毒症管理标准指南的依从性和脓毒症存活标准小时束的干预措施,并通过两种标准方法(全身炎症反应综合征[SIRS]和快速序贯器官衰竭评估[qSOFA])的比较分析来评估脓毒症的床边筛查。方法对2020年7月至2020年12月期间急诊(ED)收治的53例败血症患者进行单中心回顾。采用基准组进行相关调查。从电子记录和临床记录中收集了重要的信息以供检查。结果ED在脓毒症患者的分诊和脓毒症患者的起始时间-基础给药方面具有很强的一致性。SIRS规则将39例患者定性为脓毒症,其敏感性为73.5%,特异性为66%,而qSOFA仅将5例患者定性为脓毒症,其敏感性为9.3%,特异性为92%。结论急诊科通过记录病人的生命体征和精神状态对病人进行分诊具有较好的一致性。•确认败血症患者的代祷,例如,估计初始乳酸水平,进行血液培养和敏感性,在需要时给予静脉(IV)抗菌剂、静脉液体和血管加压剂,并再次根据标准规则估计乳酸水平的一致性。与SIRS相比,qSOFA作为可能患有败血症的ED患者的潜在指示性工具效果不佳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Audit on Sepsis Management
Aim The aim of this study was to assess the compliance of sepsis management as per standard guidelines and intervention as per surviving sepsis criteria hour bundle and to assess bedside screening for sepsis by comparative analysis of two standard methods (systemic inflammatory response syndrome [SIRS] and quick sequential organ failure assessment [qSOFA]). Methodology A single-center review on 53 patients conceded through emergency department (ED) with sepsis as a finding during the period from July 2020 to December 2020. A benchmark group was utilized for relative investigation. Significant information was collected for examination from the electronic records and from the clinical records. Results ED showed great consistency in triaging septic patients and in starting time-basic administration of patients whenever sepsis is perceived. The SIRS rules ordered 39 patients as septic with 73.5% affectability and particularity of 66%, while qSOFA characterized just five patients as septic with 9.3% affectability and explicitness of 92%. Conclusion The ED had great consistency in triaging patients by recording their vitals and mental status.• Intercession of patients with sepsis acknowledgment, for example, estimating introductory lactate levels, getting blood culture and sensitivity, administrating intravenous (IV) antimicrobials, IV liquids, and vasopressors when required and once again estimating lactate showed consistency according to standard rules• In view of the review investigation of septic patients, qSOFA performs ineffectively in contrast with SIRS as an underlying indicative instrument for patients introduced to ED who might have sepsis.
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