Publication: Nepal Paediatric Society Clinical Guidance for Management of Sepsis and Septic Shock in the Paediatric Intensive Care Units in Nepal
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Justification: Sepsis is a major cause of morbidity and mortality in Nepal. There is a lack of standardisation in the management of severe sepsis and septic shock. Additionally, international guidelines may not be completely applicable to resource limited countries like Nepal.
Objective: Create a collaborative standardised protocol for management of severe sepsis and septic shock for Nepal based on evidence and local resources.
Process / Methods: Paediatricians representing various paediatric intensive care units all over Nepal gathered to discuss clinical practice and delivery of care of sepsis and septic shock under the aegis of Nepal Paediatric Society. After three meetings and several iterations a standardised protocol and algorithm was developed by modifying the existing Surviving Sepsis Guidelines to suit local experience and resources.
Recommendations: Paediatric sepsis and septic shock definitions and management in the early hours of presentation are outlined in text and flow diagram format to simplify and standardise delivery of care to children in the paediatric intensive care setting. These are guidelines and may need to be modified as necessary depending on the resources availability and lack thereof. It is recommended to analyse data moving forward and revise every few years in the advent of additional data.
Description
Sangita Basnet
Department of Paediatrics, Southern Illinois University, School of Medicine, Springfield, Illinois, USA and Department of Paediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal
https://orcid.org/0000-0002-0657-8386
Dhruba Shrestha
Department of of Paediatrics, Siddhi Memorial Women and Children's Hospital, Bhaktapur, Nepal
Puja Amatya
Department of Paediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal
Arun Sharma
Department of Paediatrics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Binod Lal Bajracharya
Department of Paediatrics, Past President of NEPAS
Anil Shrestha
Department of Paediatrics, Kanti Children’s Hospital, Kathmandu, Nepal
Sudeep Shrestha
Specialty Trainee, Tunbridge Wells Hospital, UK
Pramila Rajchal
Department of Paediatrics, Scheer Adventist Memorial Hospital, Banepa, Nepal
Raju Kafle
Department of Paediatrics, Universal College of Medical Sciences, Bhairahwa, Nepal
Devendra Shrestha
Department of Paediatrics, KIST Hospital, Kathmandu, Nepal
Sangeeta Puri
Department of Paediatrics, Nepal Medical College, Kathmandu, Nepal
Anwesh Bhatta
Department of Paediatrics, Kathmandu Medical College, Kathmandu, Nepal
Om Krishna Pathak
Department of Paediatrics, Bharatpur Hospital, Chitwan, Nepal
Shrijana Shrestha
Department of Paediatrics, Patan Academy of Health Sciences, Lalitpur, Nepal
Keywords
Sepsis, septic shock, pediatrics, Nepal, Guidelines, management, Critical care