Compliance of Surviving Sepsis Campaign bundles: single-center perspective of 3 years

Introduction

The concept of the Surviving Sepsis Campaign (SSC) bundles integrates evidence-based and time-sensitive issues to ensure that all eligible patients receive the right treatment at the right time. A course on sepsis and severe infection was developed in our hospital in 2004 addressed at doctors and nurses working in the emergency department and in medical and surgical wards.

Methods

To determine whether our performance towards septic patients improved, a retrospective comparison of compliance with SSC in the periods between December 2004 and November 2005 and July 2006 and June 2007 after implementation of sepsis and severe infection courses was done.

Results

During both periods 173 patients were admitted with community-acquired severe sepsis, 107 in the first and 66 in the second. The mean age was 62 and 60 years (P = 0.758); 61% and 70% were male (P = 0.233); mean SAPS II was 45 and 47 (P = 0.896); and 72% and 50% had septic shock (P = 0.004). See Figure 1.

Figure 1

Compliance of Surviving Sepsis Campaign (SSC) bundles. CVP, central venous pressure.

Conclusion

Our intervention with sepsis and severe infection courses seems to have produced a slight improvement in the care of the septic patient.