Compliance With the Surviving Sepsis Campaign Bundle: A Multicenter

Abstract

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.