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2014, Number 3

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Rev Cub Med Int Emerg 2014; 13 (3)

Evaluation of a clinical practice guide for the obstetric patient gravely sick for sepsis

Sánchez PAJ, Sánchez VAJ, Somoza GME, Pérez AA, Rodríguez SE

Language: Spanish
References: 16
Page: 225-239
PDF size: 196.43 Kb.


ABSTRACT

Introduction: The sepsis appears among the first causes of maternal morbimortality and its incidence increased in the last years in the country. A clinical practice guide for the obstetric patient gravely sick for sepsis doesn't exist in our means. The guides based on evidences and consent of opinions permit a better therapeutic handling guaranteeing a progressive and uniform attention. Objective: Valuing the utility of the clinical practice guide as a therapeutic rule for the obstetric patient gravely sick for sepsis. Ambit. Intensive care unit of the hospital Commander Faustino Pérez in Matanzas. Method: Longitudinal, prospective and observational study. It was obtained a consecutive sample of all the obstetric patients gravely sick for sepsis (not influenza) that were admitted in the period 2006-2012 in the intensive care unit of the hospital Faustino Pérez where the Guide as a therapeutic rule was applied. The obtained results were compared with similar data of the intensive care unit of the hospital José R. López Tabrane of the period 1993-2002 where the therapy was the criterion of the doctors of attendance. Results: In the period 2006-2012 decreased the mortality for serious sepsis to the 17%; the evolution diminished to severe sepsis (30,7%) with minor mortality (1,9%); and although there were more cases (13 patients) the death for septic clash descended to the 23%. Conclusions: The use of the guide in the obstetric patient gravely sick for sepsis is an appropriate therapeutic rule that reduces the mortality.


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