Objectives
Sepsis bundle compliance is not clear. We evaluated rates of compliance with sepsis bundle protocols among health care providers in Turkey.
Methods
Our study was carried out retrospectively. Forty-five intensive care units (ICU) participated in this study between March 2, 2018 and October 1, 2018.
Results
One hundred thirty-eight ICUs were contacted and 45 ICUs agreed to participate. The time taken for the diagnosis of sepsis was less than six hours in 384 (59.8%) patients, while if was more than six hours in 258 (40.2%) patients. The median linterquartile range (1QR)1 times for initial antibiotic administration, culturing, vasopressor initiation, and second lactate measurement were 120.0 (60-300) minutes, 24 (12-240) minutes, 40 (20-60) minutes, and 24 (18-24) hours, respectively. The rale of compliance with tissue and organ perfusion follow-up in the first six hours was 0%. The rates of three- and six-hour sepsis bundle protocol compliance were both 0%. The ICU mortality rates for sepsis and septic shock were 22% and 78%, respectively. The ICU mortality rates for sepsis and septic shock were 22% and 78%, respectively.
Conclusions
The rate of compliance with sepsis bundle protocols was evaluated in Turkey for the first time and determined to be 0%.
C1 [Bahar, Ilhan] Bakircay Univ Cigli Training & Res Hosp, Anesthesiol & Reanimat, Izmir, Turkey.
[Oksuz, Hafize] Kahramanmaras Sutcu Imam Univ, Anesthesiol & Reanimat, Fac Med, Kahramanmaras, Turkey.
[Senoglu, Nimet] Tepecik Training & Res Hosp, Anesthesia & Crit Care, Izmir, Turkey.
[Demirkiran, Hilmi] Univ Van Yuzuncu Yil, Anesthesiol & Reanimat, Van, Turkey.
[Aydogan, Mustafa] Inonu Univ, Anesthesia & Crit Care, Turgut Ozal Med Ctr, Malatya, Turkey.
[Tomak, Yakup] Sakarya Univ, Anesthesiol & Reanimat, Fac Med, Sakarya, Turkey.
[Comez, Mehmet] Mustafa Kemal Univ, Anesthesiol & Reanimat, Fac Med, Antakya, Turkey.
[Bayrakci, Sinem] Ersin Aslan Training & Res Hosp, Anesthesiol & Reanimat, Gaziantep, Turkey.
[Gonullu, Edip] Univ Bakircay, Anesthesiol & Reanimat, Izmir, Turkey.
[Berktas, Mustafa] Bakircay Univ, Microbiol, Fac Med, Izmir, Turkey.