RELAÇÃO DO PROTOCOLO SURVIVING SEPSIS CAMPAIGN PEDIATRIC COM A TAXA DE MORTALIDADE EM CRIANÇAS INTERNADAS COM SEPSE

Abstract

Introduction: Globally, childhood sepsis is one of the most significant causes of mortality and morbidity. Several guidelines have been published, aiming to provide the medical team with evidence-based conducts to provide safety, standardize care and allow the reduction of sepsis mortality in pediatrics.

Objective: To relate the application of the Surviving Sepsis Campaign Pediatric protocol to the mortality rate in patients diagnosed with sepsis in a tertiary pediatric hospital.

Method: Quantitative, exploratory, descriptive, retrospective and cross-sectional study. A research instrument was used to collect data related to the sociodemographic profile, initial symptoms, conduct and clinical outcomes of patients with sepsis between January 2019 and December 2020.

Results: Of the 225 patients treated, 18 (8%) died. There was no correlation between time of antibiotic initiation and mortality. Hemato-oncological comorbidities and the initial presentation of neurological and perfusion alterations correlated with deaths.

Conclusion: Although the time of initiation of antibiotic administration has not proved to be essential for reducing the mortality rate, some initial symptoms and the presence of hemato-oncological comorbidities are alert for suspicion and early diagnosis of pediatric sepsis.