Infrastructure and current practice of blood culture diagnostics in patients with sepsis: teachings and recommendations from the European Sepsis Care Survey
Critical care (London, England), cilt.29, sa.1, ss.345, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Derleme
- Cilt numarası: 29 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.1186/s13054-025-05582-6
- Dergi Adı: Critical care (London, England)
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database, Directory of Open Access Journals
- Sayfa Sayıları: ss.345
- Anahtar Kelimeler: Blood cultures, Management, Quality measures, Sepsis
- İstanbul Üniversitesi Adresli: Hayır
Özet
INTRODUCTION: The recently published European Sepsis Care Survey (ESCS) by the European Sepsis Alliance (ESA) showed that the standard-of-care strategies regarding infrastructure and logistics on diagnosis and management of sepsis were beyond what is considered satisfactory. This led to a position statement by the Steering Committee of the ESA. METHODS: A literature search was conducted to compare the compliance with the Surviving Sepsis Campaign Guidelines and/or other medical societies reported by the health care practitioners participating in the ESCS regarding first line fluids and vasopressors, biomarkers, continuous availability for microbiology service and antibiotic stewardship team. RESULTS: In all suggested practices for sepsis care the feedback of the health-care professionals who completed the ESCS showed that the average adherence was more than 80% with two exceptions: availability of microbiology diagnosis limited to 10% and antibiotic stewardship for the selection of the most appropriate antibiotic limited to 65%. CONCLUSIONS: ESA suggests that quality measures are applied across Europe towards the implementation of bundles for early sepsis recognition, antibiotic stewardship for sepsis patients and availability of a continuous microbiology service on a 24-hour basis including weekends for timely diagnosis.