SOMANZ guidelines for the investigation and management sepsis in pregnancy

Lucy Bowyer1, Helen L. Robinson2, Helen L. Barrett3, Tim M. Crozier4, Michelle Giles5,6, Irena Idel7, Sandra Löwe8, Karin Lust9, Catherine A. Marnoch10, Mark R. Morton11, Joanne Said12,13, Maggie Wong14, Angela Makris15,16
1Maternal Fetal Medicine, Royal Hospital for Women, Sydney, New South Wales, Australia
2Department of Medicine, Ipswich Hospital, Ipswich, Queensland, Australia
3Department of Obstetric Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
4Intensive Care, Monash Medical Health, Melbourne, Victoria, Australia
5Department of Infectious Diseases, Alfred Health, Melbourne, Victoria, Australia
6Department of Obstetrics and Gynaecology, Monash University, Melbourne, Victoria, Australia
7Department of Nephrology, Eastern Health, Melbourne, Victoria, Australia
8Royal Hospital for Women, Sydney, New South Wales, Australia
9Department of Obstetrics and Gynaecology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
10Auckland District Health Board, Auckland, New Zealand
11Women's and Babies Division, Women's and Children's Hospital, North Adelaide, South Australia, Australia
12Department of Maternal Fetal Medicine, Sunshine Hospital, Melbourne, Victoria, Australia
13Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia
14Department of Anaesthesia, Royal Women's Hospital, Melbourne, Victoria, Australia
15Department of Medicine, Western Sydney University, Sydney, New South Wales, Australia
16Department of Nephrology, Liverpool Hospital, Liverpool, New South Wales, Australia

Tóm tắt

SOMANZ (Society of Obstetric Medicine Australia and New Zealand) has written a guideline to provide evidence‐based guidance for the investigation and care of women with sepsis in pregnancy or the postpartum period. The guideline is evidence‐based and incorporates recent changes in the definition of sepsis. The etiology, investigation and treatment of bacterial, viral and non‐infective causes of sepsis are discussed. Obstetric considerations relevant to anaesthetic and intensive care treatment in sepsis are also addressed. A multi‐disciplinary group of clinicians with experience in all aspects of the care of pregnant women have contributed to the development of the guidelines. This is an executive summary of the guidelines.

Từ khóa


Tài liệu tham khảo

AIHW:HumphreyMD ChughtaiA MacaldowieAet al.Maternal deaths in Australia 2008–2012. In: AIHW. (ed.). Vol. Maternal deaths series no. 5. Cat. no. PER 70. Canberra;2015.

Cantwell R, 2011, Saving mothers’ lives: reviewing maternal deaths to make motherhood safer: 2006–2008. The Eighth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom, BJOG, 118, 1

Perinatal and Maternal Mortality Review Committee.Ninth Annual Report of the Perinatal and Maternal Mortality Review Committee: Reporting mortality 2013. In: PMMRC (ed.) Wellington New Zealand: Health Quality & Safety Commission;2015.

Commission Clinical Excellence.Sepsis Kills 2016. [Accessed 26 March 2017.] Available from URL:http://www.cec.health.nsw.gov.au/patient-safety-programs/adult-patient-safety/sepsis-kills/sepsis-tools

Commission Clinical Excellence.Maternal Sepsis Pathway 2016. [Accessed 26 March 2017.] Available from URL:http://www.cec.health.nsw.gov.au/__data/assets/pdf_file/0008/292193/Maternal-Sepsis-Pathway-December-2016.pdf

10.1007/s00134-012-2769-8

10.5935/0103-507X.20130056

10.1097/ACO.0000000000000077

Mor G, 2010, Immune response in pregnancy 2010, Am J Reprod Immunol, 63

10.1136/bmj.318.7183.593

10.1136/bmj.a744

10.1001/jama.2016.0287

10.1097/00003246-199811000-00016

10.1001/jama.2016.0288

10.1016/j.ccm.2010.11.001

10.5694/j.1326-5377.2008.tb01825.x

10.1016/j.ajog.2014.03.010

10.1097/HJH.0000000000000368

10.1100/2012/172145

10.4236/ojog.2013.39A006

10.1097/AOG.0b013e3181c2bde8

10.1111/j.1471-0528.2008.01709.x

10.1001/jama.2016.0289

10.1111/1471-0528.13551

10.1186/cc14045

Dreier J, 2014, Systematic review and meta‐analyses: fever in pregnancy and health impacts in the offspring, Pediatr Neonatol, 133, 674

10.1002/bdra.20277

10.1007/s10803-012-1540-x

10.1345/aph.1G428

AIHW:JohnsonS LiZ HilderLet al.Maternal deaths in Australia 2006–2010. In: AIHW (ed.). Vol. Maternal deaths series no. 4. Cat. no. PER 61. Canberra;2014.

10.1016/j.ogc.2015.01.006

Knight M, 2014, Saving Lives, Improving Mothers'Care – Lessons Learned to Inform Future Maternity Care From the UK and Ireland Confidential Enquiries Into Maternal Deaths and Morbidity 2009–12

10.1186/2110-5820-3-12

10.1111/j.1479-828X.2004.00212.x

10.1097/01.CCM.0000182479.63108.CD

10.1097/01.CCM.0000217961.75225.E9

Australian Commission on Safety and Quality in Health Care.Antimicrobial Stewardship Clinical Care Standard.Sydney:ACSQHC 2014.

ThompsonI.Antimicrobial stewardship in New Zealand: Scoping research 2013. [Accessed 24 March 2017.] Available from URL:https://www.hqsc.govt.nz/assets/Infection-Prevention/PR/Antimicrobial-stewardship-report.pdf

World Health Organisation, 2012, WHO position paper on influenza vaccines – November 2012, Wkly Epidemiol Rec, 47, 461

10.1002/cpt.179

10.1002/jps.22642

10.3310/hta14340-02

10.1111/j.1479-828X.2011.01357.x

Bain E, 2014, Prophylaxis for venous thromboembolic disease in pregnancy and the early postnatal period, Cochrane Database Syst Rev, 2, CD001689

Antenatal corticosteroids guidelines.Antenatal corticosteroids given to women prior to birth to improve fetal infant child and adult health.Liggins Institute the University of Auckland Auckland. New Zealand 2015. [Accessed 2 March 2017.] Available from URL:http://www.ligginstrials.org/ANC_CPG/

10.1155/2012/628362

Australian and New Zealand College of Anaesthetists.PS52 Guidelines for Transport of Critically Ill Patients 2015. [Accessed 24 March 2017.] Available from URL:http://www.anzca.edu.au/documents/ps52-2015-guidelines-for-transport-of-critically-i.pdf

10.1097/ACO.0b013e32834a9252

10.1093/bja/aen360

10.1097/CCM.0b013e31827e83af

10.1097/00115550-200607000-00007

10.1016/j.bpa.2008.06.003