The development of an emergency sepsis care algorithm in Botswana
African journal of emergency medicine (Print)
;
3(3): 116-123, 2013. ilus
Article
in English
| AIM
| ID: biblio-1258629
ABSTRACT
Introduction:
Sepsis is a common cause of morbidity and mortality in populations with a high prevalence of HIV; but the full package of early goal directed therapy (EGDT) for sepsis is not feasible in most low and middle-income countries. The objective was to develop emergency adult sepsis care guidelines for Botswana appropriate to available resources and local epidemiology in referral hospitals and in lower levels of care.Methods:
The individual components of guidelines from the Surviving Sepsis Campaign were compared with available resources for their applicability in a tertiary referral hospital in Botswana. Antibiotics were chosen based on the hospital antibiogram; national antibiotic guidelines; and the cost and availability of antibiotics. The preliminary algorithm was presented to emergency centre medical officers in a referral hospital for feasibility and acceptability of implementation. The referral hospital guideline was further modified as part of a National Guidelines Project for suitability to all levels of careResults:
An acceptable and feasible sepsis algorithm was developed and implemented in a referral hospital in Botswana in accordance with the established hospital process. In turn; it served as the basis for the development of a national guideline. Discussion The principles of EGDT are adaptable to Botswana; and are likely to be adaptable to a variety of low- and middle-income countries on the basis of local resources and epidemiology. Further research is needed to study adherence and outcome related to the modified guidelines
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Index:
AIM (Africa)
Main subject:
Algorithms
/
Botswana
/
Sepsis
/
Disease Management
/
Emergencies
Type of study:
Practice guideline
/
Prognostic study
/
Qualitative research
/
Risk factors
Country/Region as subject:
Africa
Language:
English
Journal:
African journal of emergency medicine (Print)
Year:
2013
Type:
Article
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