Example: tourism industry

ADULT - NSW Health

ADULT . ANTIBIOTIC GUIDELINE. FOR SEVERE SEPSIS AND. SEPTIC SHOCK. Updated September 2016. Version 3. Clinical Excellence Commission 2016. All rights are reserved. In keeping with the NSW Government's commitment to encouraging the availability, dissemination and exchange of information (and subject to the operation of the Copyright Act 1968), you are welcome to reproduce the information which appears in this publication, as long as the user of the information agrees to: use the document for information only save or print a single copy for personal use only and not to reproduce any major extract or the entire document except as permitted under Copyright Act 1968 (as amended) without the prior written permission of the State of New South Wales acknowledge the source of any selected passage, table diagram or other extract reproduced

ADULT Antibiotic Guideline for Severe Sepsis and Septic Shock. Updated September 2016. Version 3. Clinical Excellence Commission Page 4 of 26

Tags:

  Adults

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Transcription of ADULT - NSW Health

1 ADULT . ANTIBIOTIC GUIDELINE. FOR SEVERE SEPSIS AND. SEPTIC SHOCK. Updated September 2016. Version 3. Clinical Excellence Commission 2016. All rights are reserved. In keeping with the NSW Government's commitment to encouraging the availability, dissemination and exchange of information (and subject to the operation of the Copyright Act 1968), you are welcome to reproduce the information which appears in this publication, as long as the user of the information agrees to: use the document for information only save or print a single copy for personal use only and not to reproduce any major extract or the entire document except as permitted under Copyright Act 1968 (as amended)

2 Without the prior written permission of the State of New South Wales acknowledge the source of any selected passage, table diagram or other extract reproduced not make any charge for providing the Information to another person or organisation without the prior written consent of the State of New South Wales and payment of an agreed copyright fee not modify the Information without the express prior written permission of the State of New South Wales include this copyright notice in any copy made: - Copyright Clinical Excellence Commission for and on behalf of the Crown in right of the State of New South Wales.

3 Source antibacterial recommendations, copyright 2014 Therapeutic Guidelines Ltd. Adapted with permission under license. National Library of Australia Cataloguing-in-Publication entry Title: ADULT Antibiotic Guideline for Severe Sepsis & Septic Shock SHPN: (CEC) 160035. Suggested citation Clinical Excellence Commission, 2016, ADULT Antibiotic Guideline for Severe Sepsis & Septic Shock Sydney: Clinical Excellence Commission Clinical Excellence Commission Board Chair: Associate Professor Brian McCaughan, AM. Chief Executive: Ms. Carrie Marr Any enquiries about or comments on this publication should be directed to: Clinical Excellence Commission Locked Bag 8.

4 Haymarket NSW 1240. Phone: (02) 9269 5500. Email: ADULT Antibiotic Guideline for Severe Sepsis and Septic Shock. Updated September 2016. Version 3. Clinical Excellence Commission Page 2 of 26. CONTENTS. Document purpose 4. 5. Important points to consider when using this guideline Decision tree 6. Severe sepsis secondary to community-acquired pneumonia 7. Severe sepsis secondary to hospital-acquired pneumonia, lower risk of 8. multi-resistant organisms Severe sepsis secondary to hospital-acquired pneumonia, higher risk of 9. multi-resistant organisms Severe sepsis secondary to urinary tract source 10.

5 Severe sepsis secondary to biliary source ascending cholangitis 11. Severe sepsis secondary to gastro-intestinal source acute peritonitis 12. Severe sepsis secondary to cellulitis including surgical wound infection 13. Severe sepsis secondary to diabetic foot infection 14. Severe sepsis secondary to intravascular device source 15. Severe sepsis secondary to secondary to toxic shock syndrome 16. Severe sepsis secondary to neurological source, organism or susceptibility 17. unknown Severe sepsis secondary to neurosurgical procedure (including external ventricular drains, shunt procedures and brain or spinal 18.)

6 Surgery). Severe sepsis (community or healthcare-associated) due to unknown source 19. Notes for antibiotic prescribing 20. Medication administration 21. References 26. ADULT Antibiotic Guideline for Severe Sepsis and Septic Shock. Updated September 2016. Version 3. Clinical Excellence Commission Page 3 of 26. DOCUMENT PURPOSE. The Clinical Excellence Commission (CEC) ADULT Antibiotic Guideline for Severe Sepsis &. Septic Shock aims to guide the prescription and timely administration of antibiotics for ADULT patients (16 years and over) that have a diagnosis of severe sepsis or septic shock, where the source is suspected or unknown.

7 Definitions of sepsis1. SEPSIS Infection, either suspected or confirmed, with systemic features such as fever, tachycardia, tachypnoea or elevated white cell count SEVERE SEPSIS Sepsis + organ dysfunction or hypoperfusion SEPTIC SHOCK Sepsis + hypotension despite adequate volume resuscitation This guideline is not intended for: - Paediatric and Neonatal patients use antibiotic prescribing guidelines endorsed at your hospital Therapeutic Guidelines: Antibiotic - Patients with febrile neutropenia use local febrile neutropenia guideline - Patients with immunological conditions consult with the patient's usual Health service provider.

8 If a delay is anticipated, commence antibiotics according to this guideline with subsequent modification as appropriate - Patients who do not have severe sepsis or septic shock as defined above, but have sepsis or infection, either suspected or confirmed use antibiotic prescribing guidelines endorsed at your hospital Therapeutic Guidelines: Antibiotic - Complex sources of sepsis such as necrotising fasciitis or sepsis from a suspected cardiac source, infective endocarditis seek expert advice to determine therapy - Patients who have been discharged from hospital in the last 7 days seek expert advice to determine therapy.

9 ADULT Antibiotic Guideline for Severe Sepsis and Septic Shock. Updated September 2016. Version 3. Clinical Excellence Commission Page 4 of 26. IMPORTANT POINTS TO CONSIDER WHEN USING THIS. GUIDELINE: - The selection of appropriate antibiotic therapy is complex - this guideline is not intended to cover all possible scenarios - Prompt administration of antibiotics and resuscitation fluids is vital in the management of the patient with sepsis. In patients diagnosed with severe sepsis or septic shock the goal is to commence antibiotic therapy within the first hour - Obtain at least two sets of blood cultures and other clinical specimens ( urine, cerebrospinal fluid, wound swabs) as appropriate PRIOR TO antibiotic commencement.

10 Do not delay antibiotic administration to wait for results of investigations. - If agents listed are not available in your hospital, consult the Attending Medical Officer and seek expert advice - Patients must be weighed to ensure correct dosage of medications - Clinicians must document the indication, drug name, dose, route of administration and review date for antibiotics in the patient's Health record - Antibiotic therapy should be reviewed by the treating team 24 hours and 48 hours after commencement - Antibiotics should be reviewed once microbiology results are available, and continued.


Related search queries