Navigation Links
Educational Drive Cut Death Rate From Sepsis
Date:5/20/2008

Spanish hospital effort led to better guideline adherence, earlier use of antibiotics for blood infection

TUESDAY, May 20 (HealthDay News) -- A national education program in Spain to promote appropriate care for severe sepsis (bloodstream infection) and septic shock led to improved guideline adherence and a lower rate of sepsis deaths in hospitals, a new study says.

Severe sepsis accounts for one in five admissions to intensive care units and is a leading cause of death in non-cardiac ICUs, the study authors noted. In the United States, patients with severe sepsis have a death rate of 28.6 percent, or about 215,000 deaths a year.

In this study, researchers at the Universidad Autonoma de Barcelona examined the effect of a national education program based on the Surviving Sepsis Campaign (SSC) guidelines in 59 Spanish intensive care units.

The SSC -- developed as part of a plan to reduce deaths among patients with severe sepsis -- recommends implementing a six-hour resuscitation "bundle" (which includes a number of procedures and treatments), as well as a first 24-hour management bundle. There's been concern that the guidelines aren't being followed, possibly due to a lack of adequate health provider education.

The education campaign included training of doctors and other health workers in the definition, recognition, and treatment of severe sepsis and septic shock as outlined in the SSC guidelines.

In the 59 ICUs included in the study, patients with severe sepsis had a lower risk of hospital death after the education program (44 percent vs. 39.7 percent) and a lower 28-day death rate (36.4 percent vs. 31.1 percent).

In addition, compliance with all resuscitation and all management measures improved significantly after the education program.

"The decreased mortality observed in our study and other studies might derive from better identification of patients with severe sepsis or from improved compliance with quality indicators, including earlier administration of antibiotics, or both," the researchers wrote.

The findings are published in the May 21 issue of the Journal of the American Medical Association.

This study provides "powerful evidence that broad-based quality improvement in sepsis care is feasible on a national scale," Dr. Jeremy M. Kahn, of the University of Pennsylvania, and Dr. David W. Bates, of Brigham and Women's Hospital and the Harvard School of Public Health, wrote in an accompanying editorial.

"The data also suggest that delivering a bundle of care effectively for patients with sepsis may be as, or even more, important than developing new therapies. Indeed, the absolute risk reduction in hospital mortality observed in this study would translate to an impressive number of lives saved if this type of intervention were successfully implemented on an international scale."

More information

The MedlinePlus Medical Encyclopedia has more about sepsis.



-- Robert Preidt



SOURCE: Journal of the American Medical Association, news release, May 20, 2008


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Pearson VUE Signs Exclusive Contract with Educational Resources, Inc.
2. Launch of New Educational Campaign, Spread the Word - NOT the Flu!, Aims to Highlight Importance of Influenza Vaccination
3. Fort Dodge Animal Health and the American Association of Feline Practitioners Launch Educational Web Site for Cat Owners - www.healthycatsforlife.com
4. XShares Supports Parkinsons Disease Foundation 50th Anniversary Educational Symposium
5. Kiplinger Unveils Educational Video on Long-Term Care
6. Educational media workshop unites cancer scientists and journalists
7. CVS Caremark All Kids Can and Scholastic Distribute Free Educational Guides in Schools to Champion Acceptance and Build Self-Esteem among Second Graders
8. Little Pilgrims Launches Educational DVDs for Children with Autism
9. Survey underscores importance of emotional/educational needs among women with advanced breast cancer
10. New Survey Underscores Importance of Psychosocial and Educational Needs Among Women with Advanced Breast Cancer
11. DATATRAK International Launches Innovative, Interactive Educational Webcast Series
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the ... “America On The Brink” is the creation of published author, William Nowers. Captain ... As a WWII veteran, he spent thirty years in the Navy. Following his ...
(Date:10/12/2017)... Wis. (PRWEB) , ... October 12, 2017 , ... ... standard products to meet the demand of today’s consumer and regulatory authorities worldwide. ... of probiotic experts and tested to meet the highest standard. , These ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information about ... intend to develop to enable prevention of a major side effect of chemotherapy ... especially in pediatric patients. For cisplatin, hearing loss is FDA listed on-label as ...
(Date:10/12/2017)... ... , ... On Saturday, October 21, the Health & Wellness Center at Florida ... money for the American Heart Association Heart Walk. Teams of up to 10 people ... keep their treadmills moving for 5 hours. Treadmills will start at 7:00 p.m. on ...
(Date:10/12/2017)... ... 12, 2017 , ... Vohra Chief Medical Officer Dr. Shark ... skilled nursing facility medical directors and other clinicians at various events in October. ... "At many of these conferences we get to educate other physicians, facility nurses, ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... , Sept. 27, 2017  Commended for their devotion to ... awards. Ranked as number one in the South Florida Business ... in Inc. 5000 yearly list, the national specialty pharmacy has ... Armando Bardisa will soon be honored by SFBJ as ... Set to receive his award in October, ...
(Date:9/25/2017)... Sept. 25, 2017  EpiVax, Inc., a leader ... and immune-engineering today announced the launch of EpiVax ... of personalized therapeutic cancer vaccines. EpiVax has provided ... access to enabling technologies to the new precision ... lead EpiVax Oncology as Chief Executive Officer. Gad ...
(Date:9/22/2017)... DIEGO , Sept. 22, 2017 AVACEN ... medical device is now successfully helping those with the ... Fibromyalgia diagnosed Amanda in Essex, ... dressed and washing my hair, experiencing no sleep at ... in painful spasm… I cannot recommend [the AVACEN 100] ...
Breaking Medicine Technology: