Barriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols

The implementation of managed protocols contributes to a systematized approach to the patient and continuous evaluation of results, focusing on improving clinical practice, early diagnosis, treatment, and outcomes. Advantages to the adoption of a pediatric sepsis recognition and treatment protocol i...

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Autores principales:	Daniela Nasu Monteiro Medeiros, Audrey Ogawa Shibata, Cristiane Freitas Pizarro, Maria de Lourdes Alves Rosa, Marta Pessoa Cardoso, Eduardo Juan Troster
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	protocol and guidelines children mortality implementation outcomes barriers Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/b4722f91fce143d0a26ffd6578052d90
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spelling	oai:doaj.org-article:b4722f91fce143d0a26ffd6578052d902021-11-10T07:22:44ZBarriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols2296-236010.3389/fped.2021.755484https://doaj.org/article/b4722f91fce143d0a26ffd6578052d902021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.755484/fullhttps://doaj.org/toc/2296-2360The implementation of managed protocols contributes to a systematized approach to the patient and continuous evaluation of results, focusing on improving clinical practice, early diagnosis, treatment, and outcomes. Advantages to the adoption of a pediatric sepsis recognition and treatment protocol include: a reduction in time to start fluid and antibiotic administration, decreased kidney dysfunction and organ dysfunction, reduction in length of stay, and even a decrease on mortality. Barriers are: absence of a written protocol, parental knowledge, early diagnosis by healthcare professionals, venous access, availability of antimicrobials and vasoactive drugs, conditions of work, engagement of healthcare professionals. There are challenges in low-middle-income countries (LMIC). The causes of sepsis and resources differ from high-income countries. Viral agent such as dengue, malaria are common in LMIC and initial approach differ from bacterial infections. Some authors found increased or no impact in mortality or increased length of stay associated with the implementation of the SCC sepsis bundle which reinforces the importance of adapting it to most frequent diseases, disposable resources, and characteristics of healthcare professionals. Conclusions: (1) be simple; (2) be precise; (3) education; (5) improve communication; (5) work as a team; (6) share and celebrate results.Daniela Nasu Monteiro MedeirosAudrey Ogawa ShibataCristiane Freitas PizarroMaria de Lourdes Alves RosaMarta Pessoa CardosoEduardo Juan TrosterFrontiers Media S.A.articleprotocol and guidelineschildrenmortalityimplementationoutcomesbarriersPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	protocol and guidelines children mortality implementation outcomes barriers Pediatrics RJ1-570
spellingShingle	protocol and guidelines children mortality implementation outcomes barriers Pediatrics RJ1-570 Daniela Nasu Monteiro Medeiros Audrey Ogawa Shibata Cristiane Freitas Pizarro Maria de Lourdes Alves Rosa Marta Pessoa Cardoso Eduardo Juan Troster Barriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols
description	The implementation of managed protocols contributes to a systematized approach to the patient and continuous evaluation of results, focusing on improving clinical practice, early diagnosis, treatment, and outcomes. Advantages to the adoption of a pediatric sepsis recognition and treatment protocol include: a reduction in time to start fluid and antibiotic administration, decreased kidney dysfunction and organ dysfunction, reduction in length of stay, and even a decrease on mortality. Barriers are: absence of a written protocol, parental knowledge, early diagnosis by healthcare professionals, venous access, availability of antimicrobials and vasoactive drugs, conditions of work, engagement of healthcare professionals. There are challenges in low-middle-income countries (LMIC). The causes of sepsis and resources differ from high-income countries. Viral agent such as dengue, malaria are common in LMIC and initial approach differ from bacterial infections. Some authors found increased or no impact in mortality or increased length of stay associated with the implementation of the SCC sepsis bundle which reinforces the importance of adapting it to most frequent diseases, disposable resources, and characteristics of healthcare professionals. Conclusions: (1) be simple; (2) be precise; (3) education; (5) improve communication; (5) work as a team; (6) share and celebrate results.
format	article
author	Daniela Nasu Monteiro Medeiros Audrey Ogawa Shibata Cristiane Freitas Pizarro Maria de Lourdes Alves Rosa Marta Pessoa Cardoso Eduardo Juan Troster
author_facet	Daniela Nasu Monteiro Medeiros Audrey Ogawa Shibata Cristiane Freitas Pizarro Maria de Lourdes Alves Rosa Marta Pessoa Cardoso Eduardo Juan Troster
author_sort	Daniela Nasu Monteiro Medeiros
title	Barriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols
title_short	Barriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols
title_full	Barriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols
title_fullStr	Barriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols
title_full_unstemmed	Barriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols
title_sort	barriers and proposed solutions to a successful implementation of pediatric sepsis protocols
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/b4722f91fce143d0a26ffd6578052d90
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Barriers and Proposed Solutions to a Successful Implementation of Pediatric Sepsis Protocols

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