在低收入和中低收入国家遵守败血症管理协议的挑战 - - 一项跨部门研究
Ged Williams1, Laura Alberto2, Maysa Taha3
1Founding Chair World Federation of Critical Care Nurses, Chief Nursing Officer, Alfred Health, Melbourne, Australia.
Intensive & critical care nursing
|April 22, 2025
概括
低资源医院的败血症管理面临挑战,因为基本测试和治疗的可用性不一致,影响患者的护理. 弥合与高收入国家之间的差距需要持续努力,以制定有效的败血症协议.
科学领域:
- 关键护理医学 关键护理医学
- 全球卫生平等全球卫生平等
- 传染病管理 传染病管理
背景情况:
- 在低收入和低收入中等收入国家 (L&LMIC) 中的败血症管理需要了解资源的可用性.
- 国际败血症指南提供了护理的基准.
研究的目的:
- 探索L&LMIC医院的败血症管理资源.
- 在L&LMIC.中评估是否符合国际败血症指南.
主要方法:
- 使用17个问题的电子调查进行横截面研究.
- 在L&LMIC.中对重症监护护士进行调查.
- 收集的人口统计数据,败血症识别工具,资源和响应时间.
主要成果:
- 来自24个L&LMIC的66家医院的93名护士参加了这次活动.
- 虽然氧气和脉冲氧计等基本资源是常见的,但关键测试 (乳酸盐,培养物) 缺少19%和11%的医院.
- 资源的限制导致了护理的损害,家庭有时需要购买必要的物品.
结论:
- L&LMIC医院显示出遵守指南的潜力,但缺乏一致性和可持续性.
- 在基本的败血症诊断和治疗中观察到显著的延迟.
- 迫切需要通过有针对性的干预措施和共同的协议来弥合L&LMIC和高收入国家之间的败血症护理差距.
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