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

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posted on 2023-06-10, 03:07 authored by Sangita Basnet, Dhruba Shrestha, Puja Amatya, Arun Sharma, Binod Lal Bajracharya, Anil Shrestha, Sudeep Shrestha, Pramila Rajchal, Raju Kafle, Devendra Shrestha, Sangeeta Puri, Anwesh Bhatta, Om Krishna Pathak, Sudeep Shrestha
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.

History

Publication status

  • Published

File Version

  • Published version

Journal

Journal of Nepal Paediatric Society

ISSN

1990-7974

Publisher

Nepal Journals Online (JOL)

Issue

1

Volume

41

Page range

1-10

Department affiliated with

  • Division of Medical Education Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2022-04-13

First Open Access (FOA) Date

2022-04-13

First Compliant Deposit (FCD) Date

2022-04-13

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