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Sepsis Protocol: Metropolitan Hospital establishes new guidelines to identify and treat widespread infection

The Hospital Metropolitano Dom José Maria Pires, a unit managed by Fundação PB Saúde, established new guidelines for the treatment of Sepsis – a syndrome also known as generalized infection –, through a protocol of the Hospital Infection Control Service (SCIH). The document marks the celebrations of World Sepsis Day, which took place on September 13.

The objective of the protocol is to enable professionals to identify cases of sepsis early and thus provide appropriate treatment. As was the case with Francisco Dutra, 74, who arrived at the Metropolitano for cardiovascular treatment and was diagnosed with pulmonary sepsis. His daughter, Cleoneide da Silva, 49, accompanied her father in treatment and reports how difficult it was for the family. “When my father arrived at the hospital, I thought he would not come home again, because I saw him in the last few years. I didn’t know about this disease, but from the state my father was in, I understood its severity and today I just have to thank the entire team that took care of him daily and made it possible for my father to be well today to be discharged”, said Cleoneide.

Sepsis occurs when the body’s defense system, to protect itself from an infection, ends up spreading inflammation through different parts of the body, until it reaches the entire body. If the disease is not diagnosed and treated quickly, the infection can compromise the functioning of one or several organs and even lead to death. This syndrome can affect people of any age, but it is more common in newborns, the elderly and people who have some degree of immune deficiency.

The Metropolitano infectious disease doctor, Monnara Lucio, explained some procedures that will be carried out according to the implemented protocol: “The collection of exams should take place in a more agile time, just as we accelerate the process of arrival of the antibiotic to the patient, these and other measures of the protocol aim to prioritize the patient with sepsis to try to reverse the infectious condition as quickly as possible and prevent it from progressing to septic shock and death”.

According to the coordinator of the SCIH, Thais Grassi, the implementation of the sepsis protocol should benefit patients, reducing the morbidity and mortality associated with this syndrome. “Based on the guidelines of this protocol, professionals will be able to recognize the signs and symptoms of sepsis, providing immediate management so that treatment can be done, reducing negative outcomes and providing better treatment effectiveness”, said the nurse.

Also according to Thais, there are some signs and symptoms that are used to identify a frame of sepsis. “We observed changes in body temperature (which may increase or decrease), increase in heart rate, increase in respiratory rate, decrease in blood pressure, decrease in urinary volume, lowering of the level of consciousness and changes in blood tests”, completed the statement. nurse.

Considering the relevance of the standardization of the service and assistance provided for the survival of patients, the hospital manager of health care, Kariny Lisboa, stressed that the immediate identification of the disease is of vital importance. “The diagnosis time, of a few minutes or hours, and the early treatment of Sepsis is what will determine the patient’s chances of survival. Therefore, we are enabling this specialized look of the team, to provide an increasingly qualified, effective and safe assistance”, she pointed out.

According to the World Health Organization (WHO), about 11 million deaths occur as a result of Sepsis per year. In Brazil, this number is 240,000 lives lost as a result of this syndrome.

A survey carried out by the Instituto Latinoamericano de Sepsis (ILAS) indicated that between 60 and 70% of people develop the disease from bacteria, viruses and fungi contracted outside the hospital environment. That is, although many people associate sepsis with hospital units, in most cases, infections of this type are contracted outside this environment and the best way to prevent them is to avoid infections that can give rise to this disease.

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