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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Adherence to sepsis protocol in a high-risk maternity reference center.

Marianny Medeiros de Moraes¹, Amuzza Aylla Pereira Dos Santos¹, Juliana Duque da Silva de Sá Leitão¹

¹Universidade Federal de Alagoas. Maceió, Alagoas, Brazil.

Revista Brasileira De Enfermagem

|September 11, 2024

Summary

Obstetric nurses initiated sepsis protocols for all eligible pregnant patients. However, not all protocol steps, including broad-spectrum antibiotic administration, were fully completed.

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Area of Science:

Obstetrics and Gynecology
Infectious Disease Management
Healthcare Quality Improvement

Background:

Sepsis is a life-threatening condition requiring prompt recognition and management.
Adherence to sepsis protocols is crucial for improving patient outcomes in high-risk maternity settings.
Obstetric triage serves as a critical point for early sepsis detection in pregnant women.

Purpose of the Study:

To evaluate the adherence of obstetric nurses to the sepsis protocol in a high-risk maternity reference center.
To identify specific areas of the sepsis protocol with high and low compliance rates.

Main Methods:

Quantitative, retrospective, and documental study design.
Involved analysis of 105 pregnant women's electronic medical records meeting sepsis criteria.
Data collected using structured forms and analyzed with descriptive statistics.

Main Results:

Sepsis protocol initiation was confirmed for all 105 identified cases.
High compliance for lactate collection (97.1%) and blood cultures (98.1%).
Antibiotic therapy (94.3%) and hydration (51.4%) showed lower adherence rates.

Conclusions:

While sepsis protocols were initiated, full implementation of all recommended steps was not achieved.
Specific protocol elements, such as hydration and broad-spectrum antibiotic administration, require improvement.
Findings highlight the need for enhanced training and resource allocation to ensure comprehensive sepsis management.