My understanding is that the surviving sepsis guidelines are adult-only. I
am working on EMR decision support for these guidelines and reviewed them
with our critical care chief. I brought up the issue of age restrictions
and he specifically indicated the studies do not support using any of these
guidelines in pediatrics. When specifically studied in kids, the
guidelines do are not predictive of sepsis outcomes.
On Fri, Aug 29, 2014 at 3:37 PM, Greg Dupuis <[log in to unmask]> wrote:
> 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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