Articles Tagged With: Sepsis
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Do Race and Ethnicity Affect the Likelihood of ICU Admission?
Patients who identify with racial or ethnic minority groups who present with sepsis or acute respiratory failure are more likely to be admitted to the intensive care unit (ICU) when compared to white patients. Capacity strain reduced the frequency of ICU admission but did not modify the differences seen between these groups.
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CMS May Suppress Data on Complications in Hospitals
CMS is planning to suppress data on many dangerous medical and surgical complications in hospitals because data from the COVID-19 era may be unreliable. The plan would suppress data on sepsis, kidney harm, deep bedsores, lung collapse, and many other measures. -
Surviving Sepsis: The New Guidelines
Subsequent revisions of Surviving Sepsis guidelines highlighted the need for early, appropriate antibiotics along with a new focus on initial resuscitation, stressing the importance of dynamic measurements instead of static variables to predict fluid responsiveness. The most recent 2021 revisions continue to stress the importance of these ideals, but they also place an increased emphasis on the hour-1 bundle and improving the care of sepsis patients after they are discharged from the intensive care unit.
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Delaying Antibiotics in Patients with Suspected Infection Increases Risk of Septic Shock
A retrospective cohort study revealed delaying the first dose of antibiotics in patients suspected of presenting with an infection in the ED led to a higher risk of progressing to septic shock and in-hospital mortality. Every hour antibiotics were delayed raised the risk of septic shock by 4%.
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Noncompliance with Sepsis Measures Used to Prove Care Was Negligent
Along with growing general awareness, there are several positive developments in ED sepsis care, including laboratory tests helpful in diagnosing sepsis cases that have improved substantially. Also, there are new biomarkers of sepsis that are promising, and new molecular tests allow a lab to identify blood-borne infections in hours instead of the days formerly required for blood cultures to grow.
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Initial Antibiotic Choice for Neonatal Sepsis in Low- and Middle-Income Countries
Gram-negative rods are responsible for most neonatal sepsis in low- and middle-income countries. Ampicillin-gentamicin usually has been recommended for presumptive treatment, pending bacteriology results (when such tests are available). The results of a multinational study in Africa and Asia suggest resistance to standard therapy is widespread and that ceftazidime-amikacin might be a better option.
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ED Is Focus of Reduction in Sepsis-Related Mortality
Using a sepsis alert, combined with nursing protocols and physician order set usage, can improve core measure compliance and related mortality rates.
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Latest Leapfrog Safety Grades Include Post-Op Sepsis
The most recent grades from The Leapfrog Group represent the largest set of hospitals ever evaluated, with grades assigned to 2,901 facilities. More than 30 evidence-based measures of patient safety were assessed, including postoperative sepsis, blood leakage, and kidney injury for the first time. -
Surviving Sepsis 2021 Update
Some of the important changes include clearer differentiation of sepsis vs. septic shock and, for numerous recommendations, changing the strength and quality of evidence to support many.
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Medicare Sepsis Performance Measure Criteria Do Not Improve Outcomes
A longitudinal study of a single health system’s adherence to and outcomes of Medicare Sepsis Performance Measures (SEP-1) did not show an improvement in mortality despite improvements in adherence to guideline-mandated care.