Hi Dr. Townsend,
I have a concern over a group of pts that do not receive a broad spectrum or appropriate combo therapy for severe sepsis but will NOT fail the measure because they received an antibiotic w/in the 24 hr preceding the severe sepsis presentation time. For example, pt diagnosed with 'sepsis' 2 cellulitis; Clinda 1645, Vanco 1904. Then, lactate reported later at 17:24 (level 2.2), thus, clinically met criteria for Severe Sepsis at 1724. Because the Clinda was given at 1645, I believe, this makes this case's antibiotic selection(s) an EXCLUSION from the broad spectrum SELECTION (antibiotics were given in the 24 hours BEFORE presentation). I was ready to count it as fail and give feedback to provider, but it's NOT failing. Are all pts who receive antibiotics for "sepsis" (received prior to severe sepsis presentation) going to be excluded from the SEP-1 antibiotic SELECTION? Jennifer Halligan, RN Quality Review Nurse San Joaquin General Hospital Tel: 209-468-7471 Fax: 209-468-7011
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
