A study of rate of compliance with sepsis bundle in patients with severe sepsis and septic shock in emergency department

OBJECTIVE: To evaluate the occurrence of severe sepsis and septic shock and the rate of compliance with sepsis bundle in patients with severe sepsis and septic shock in emergency department

Bibliographische Detailangaben
Veröffentlicht in:Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue. - 1998. - 23(2011), 3 vom: 03. März, Seite 138-41
1. Verfasser: Zhu, Ying (VerfasserIn)
Weitere Verfasser: Tao, Ran-jun, Shi, Wen, Tong, Jian-jing, Lu, Yi-ming
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2011
Zugriff auf das übergeordnete Werk:Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
Schlagworte:English Abstract Journal Article Research Support, Non-U.S. Gov't
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245 1 2 |a A study of rate of compliance with sepsis bundle in patients with severe sepsis and septic shock in emergency department 
264 1 |c 2011 
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500 |a Date Completed 30.01.2012 
500 |a Date Revised 03.03.2011 
500 |a published: Print 
500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To evaluate the occurrence of severe sepsis and septic shock and the rate of compliance with sepsis bundle in patients with severe sepsis and septic shock in emergency department 
520 |a METHODS: A prospective study was conducted on consecutive adult patients who were sent to Emergency Department of Ruijin Hospital, Shanghai Jiaotong University School of Medicine by ambulance from May to June in 2009. The occurrence of severe sepsis and septic shock, and the number of the patients in whom who met the criteria of compliance with sepsis bundle were analyzed 
520 |a RESULTS: Nine hundred and seventeen patients who were sent to the emergency department by ambulance in that period were enrolled in the study. The number of patients with severe sepsis and septic shock was 96. The incidence of severe sepsis and septic shock was 10.47%. Among these patients, the number of patients in whom the sepsis bundle was complied, i.e. sepsis bundle, appropriate cultures were taken before antimicrobial therapy, placement of central venous catheter and monitoring of central venous pressure (CVP) as well as central venous oxygen saturation (ScvO₂) within 2 hours, antibiotic therapy within 3 hours, early goal directed therapy (EGDT) within 6 hours, and lactate clearance in 12 hours reached 1.04%, 3.12%, 2.08%, 83.33%, 1.04%, 23.96%. The Results were 1.19%, 3.57%, 2.38%, 83.33%, 1.19%, 26.19% and 0, 0, 0, 83.33%, 0, 8.33% in medical and surgical emergency department respectively. There was no statistical difference between the two divisions (all P>0.05) 
520 |a CONCLUSION: The incidence of severe sepsis and septic shock was high in emergency department, but the rate of recognition of it and the compliance with sepsis bundle were inadequate. It is urgently necessary to enhance the learning and implementation of the guideline 
650 4 |a English Abstract 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
700 1 |a Tao, Ran-jun  |e verfasserin  |4 aut 
700 1 |a Shi, Wen  |e verfasserin  |4 aut 
700 1 |a Tong, Jian-jing  |e verfasserin  |4 aut 
700 1 |a Lu, Yi-ming  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue  |d 1998  |g 23(2011), 3 vom: 03. März, Seite 138-41  |w (DE-627)NLM098227793  |x 1003-0603  |7 nnns 
773 1 8 |g volume:23  |g year:2011  |g number:3  |g day:03  |g month:03  |g pages:138-41 
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