Nepal paediatric society clinical guidance for management of sepsis and septic shock in the paediatric intensive care units in Nepal

Basnet, Sangita, Shrestha, Dhruba, Amatya, Puja, Sharma, Arun, Bajracharya, Binod Lal, Shrestha, Anil, Shrestha, Sudeep, Rajchal, Pramila, Kafle, Raju, Shrestha, Devendra, Puri, Sangeeta, Bhatta, Anwesh, Pathak, Om Krishna and Shrestha, Shrijana (2021) Nepal paediatric society clinical guidance for management of sepsis and septic shock in the paediatric intensive care units in Nepal. Journal of Nepal Paediatric Society, 41 (1). pp. 1-10. ISSN 1990-7974

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Abstract

Justification: Sepsis is a major cause of morbidity and mortality in Nepal. There is a lack of standardisation in the management of severe sepsis and septic shock. Additionally, international guidelines may not be completely applicable to resource limited countries like Nepal.

Objective: Create a collaborative standardised protocol for management of severe sepsis and septic shock for Nepal based on evidence and local resources.

Process / Methods: Paediatricians representing various paediatric intensive care units all over Nepal gathered to discuss clinical practice and delivery of care of sepsis and septic shock under the aegis of Nepal Paediatric Society. After three meetings and several iterations a standardised protocol and algorithm was developed by modifying the existing Surviving Sepsis Guidelines to suit local experience and resources.

Recommendations: Paediatric sepsis and septic shock definitions and management in the early hours of presentation are outlined in text and flow diagram format to simplify and standardise delivery of care to children in the paediatric intensive care setting. These are guidelines and may need to be modified as necessary depending on the resources availability and lack thereof. It is recommended to analyse data moving forward and revise every few years in the advent of additional data.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Division of Medical Education
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 13 Apr 2022 07:36
Last Modified: 16 Aug 2022 13:14
URI: http://sro.sussex.ac.uk/id/eprint/105296

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