在意大利北部进行一项多中心研究,以评估败血症捆绑在产科环境中的影响:SOS研究
Marta Colaneri1,2, Simona Biscarini3, Lara Tiranini4
1Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Open forum infectious diseases
|July 3, 2025
概括
产科患者的败血症管理包没有改善母亲的结果,但减少了新生儿重症监护室的入院. 增加的传染病咨询表明,在产科护理中提高了败血症意识.
科学领域:
- 产科 产科 产科 产科 产科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 2018年,为伦巴第地区的产科患者开发了一个区域性败血症管理包.
- 怀孕期间的败血症对母亲和新生儿都有重大风险.
研究的目的:
- 评估区域性败血症管理包对孕产妇和新生儿临床结果的影响.
- 评估捆绑对与败血症相关的过程措施的影响.
主要方法:
- 多中心,观察性,回顾性研究设计.
- 包括被诊断患有败血症的孕妇和产后成人患者.
- 组合前 (2015年5月至2018年5月) 和组合后 (2018年7月至2023年1月) 期数据的比较.
主要成果:
- 在这两个时期都没有发生孕产妇死亡;在孕产妇的逗留时间上也没有显著差异.
- 新生儿重症监护室的入院率显著下降,从85.7%降至31.3% (P = .013).
- 传染病专家咨询显著增加,从50.0%增加到75.0% (P = .029).
结论:
- 败血症管理包没有显著改变母亲的结果.
- 在捆绑后观察到新生儿重症监护室入院的减少,尽管捆绑的直接因果作用尚不确定.
- 增加的传染病咨询表明,临床医生之间提高了败血症意识.
相关概念视频
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
47
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
47
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K