Challenges of implementing the Paediatric Surviving Sepsis Campaign International Guidelines 2020 in resource-limited settings: A real-world view beyond the academia

Gavin Wooldridge, Nicole O’brien, Fiona Muttalib, Qalab Abbas, John Adabie Appiah, Tim Baker, Arun Bansal, Sangita Basnet, Santiago Campos-Miño, Daniela Carla de Souza, Franco Díaz, Angela Dramowski, Jaime Fernández-Sarmiento, Ana Fustiñana, Gustavo González, Roberto Jabornisky, Juan Camilo Jaramillo-Bustamante, Chor Yek Kee Yek Kee, Hans Joerg Lang, Vanessa Soares LanziottiGuillermo Kohn Loncarica, Hadi Mohsenibod, Bunmi Ode, Srinivas Murthy, Amelie von Saint Andre von Arnim, Andreas Hansmann, Sebastián González-Dambrauskas

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

The Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-associated Organ Dysfunction in Children was released in 2020 and is intended for use in all global settings that care for children with sepsis. However, practitioners managing children with sepsis in resource-limited settings (RLS) face several challenges and disease patterns not experienced by those in resource-rich settings. Based upon our collective experience from RLS, we aimed to reflect on the difficulties of implementing the international guidelines. We believe there is an urgent need for more evidence from RLS on feasible, efficacious approaches to the management of sepsis and septic shock that could be included in future context-specific guidelines.

Original languageEnglish
Pages (from-to)954-962
Number of pages9
JournalAndes Pediatrica
Volume92
Issue number6
DOIs
Publication statusPublished - 1 Nov 2021

Keywords

  • Pediatrics
  • Resuscitation
  • Sepsis
  • Treatment

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