We are tracking our sepsis metrics in the Peds ED, time to identification, antibiotics, IVF resus, etc.
In some of our recent committee discussions, we have noticed some potential conflicts.
For example, surviving sepsis guidelines recommend WBC and lactate as markers to classify as sepsis, severe sepsis, or septic shock, in children who meet septic criteria.
But... IDSA community acquired pneumonia guidelines and the AAP Febrile UTI guidelines do not require lab work in their treatment algorithms.
Has anyone been able to reconcile these guidelines? We want to do a great job of recognizing and treating sepsis, but do not want to unnecessarily do lab draws on kids who might otherwise not need them.
Greg Dupuis, MD
Medical Director, The Children's Hospital ED at Oklahoma University Medical Center
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