Compliance With the Surviving Sepsis Campaign Bundle: A Multicenter Study From Turkey
| Autor: | Mustafa Berktas, Hilmi Demirkiran, Ilhan Bahar, Mehmet Selim Çömez, Mustafa Said Aydogan, Edip Gonullu, Hafize Öksüz, Yakup Tomak, Nimet Senoglu, Sinem Bayrakci |
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| Rok vydání: | 2021 |
| Předmět: |
Surviving Sepsis Campaign
Infectious Disease 030204 cardiovascular system & hematology compliance sepsis Sepsis 03 medical and health sciences 0302 clinical medicine Anesthesiology Interquartile range Intensive care Internal Medicine medicine turkey business.industry Septic shock General Engineering Guideline medicine.disease Compliance (physiology) Anesthesia business bundle guideline Perfusion 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.14989 |
| Popis: | Objectives Sepsis bundle compliance is not clear. We evaluated rates of compliance with sepsis bundle protocols among health care providers in Turkey. Methods Our study was carried out retrospectively. Forty-five intensive care units (ICU) participated in this study between March 2, 2018 and October 1, 2018. Results One hundred thirty-eight ICUs were contacted and 45 ICUs agreed to participate. The time taken for the diagnosis of sepsis was less than six hours in 384 (59.8%) patients, while it was more than six hours in 258 (40.2%) patients. The median [interquartile range (IQR)] times for initial antibiotic administration, culturing, vasopressor initiation, and second lactate measurement were 120.0 (60-300) minutes, 24 (12-240) minutes, 40 (20-60) minutes, and 24 (18-24) hours, respectively. The rate of compliance with tissue and organ perfusion follow-up in the first six hours was 0%. The rates of three- and six-hour sepsis bundle protocol compliance were both 0%. The ICU mortality rates for sepsis and septic shock were 22% and 78%, respectively. The ICU mortality rates for sepsis and septic shock were 22% and 78%, respectively. Conclusions The rate of compliance with sepsis bundle protocols was evaluated in Turkey for the first time and determined to be 0%. |
| Databáze: | OpenAIRE |
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