Pediatric sepsis and septic shock management in resource-limited settings
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Infectious diseases leading to septic shock remain a major cause of childhood mortality in all settings . Recommendations in the Surviving Sepsis Campaign (SSC), guidelines for pediatric patients rely on evidence from resource-rich settings . However, recommendations are context dependent, and published guidelines deriving evidence primarily from resource-rich settings may be less relevant in areas where resources are minimal and the epidemiology is very different . Thus recommendations for the treatment of septic shock in children in intensive care units (ICUs) in resource-limited settings are sorely needed, where there is often lacking laboratory support, equipment, and trained staff, serving as a supplement to existing guidelines from the World Health Organization (WHO) that focus upon emergency triage and treatment in non-ICU contexts . There is no standardized definition of ICU, but for the purposes of these recommendations, we are focusing on referral...
KeywordsSeptic Shock Continuous Positive Airway Pressure Online Supplement Survive Sepsis Campaign Severe Acute Malnutrition
Group members of the Pediatric Considerations Subgroup
(Heads) Ndidiamaka Musa (Seattle Children’s Hospital, Seattle, USA), Srinivas Murthy (BC Children’s Hospital, Vancouver, Canada), Niranjan Kissoon (BC Children’s Hospital, Vancouver, Canada). Other members, in alphabetic order: Rakesh Lodha (All India Institute of Medical Sciences, Delhi, India), Suchitra Ranjit (Apollo Hospital, Chennai, India).
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