# Adherence to sepsis protocol in a high-risk maternity reference center

## TL;DR

This study examines how well obstetric nurses followed a sepsis protocol in a high-risk maternity center, finding that some steps were not fully implemented.

## Contribution

The study provides insights into protocol adherence in a specific maternity setting, highlighting gaps in implementation.

## Key findings

- Sepsis protocol was initiated for all eligible patients.
- Lactate and blood cultures were collected in most cases, but hydration and recommended antibiotics were underutilized.

## Abstract

To describe the adherence to the sepsis protocol by obstetric nurses in the obstetric triage of a high-risk maternity reference center.

This was a quantitative, documental, and retrospective study involving 105 pregnant women treated in obstetric triage under sepsis criteria. Data were collected through electronic medical records using structured forms and were organized into tables employing descriptive statistics. This research adhered to ethical principles concerning human studies.

Of the checklists for initiating the SEPSIS protocol by obstetric nurses, 105 were identified. Regarding the protocol steps performed, lactate was collected in 97.1% of cases and blood cultures in 98.1%, antibiotic therapy was administered in 94.3%, and hydration was carried out in 51.4% of the cases.

The initiation of the sepsis protocol for all women meeting the criteria was confirmed. However, the steps were not fully implemented as recommended by the institutional protocol, and the recommended broad-spectrum antibiotic was not administered.

Descrever a adesão ao protocolo de sepse por enfermeiras obstétricas na triagem obstétrica de uma maternidade de referência para gestação de alto risco.

Estudo quantitativo, documental e retrospectivo com 105 gestantes atendidas na triagem obstétrica com critérios de sepse. Realizou-se coleta de dados mediante prontuários eletrônicos utilizando formulários estruturados. Organizaram-se os resultados em tabelas, empregando-se a estatística descritiva. Esta pesquisa seguiu os conceitos éticos que envolvem estudos com seres humanos.

Identificaram-se 105 checklists de abertura de protocolo de SEPSE por enfermeiras obstétricas. Quanto às etapas do protocolo de sepse realizadas, coletaram-se lactato (97,1% dos casos) e hemocultura (98,1%), administrou-se antibioticoterapia (94,3%) e realizou-se hidratação (51,4%).

Evidenciou-se abertura de protocolo de sepse para todas as mulheres que preenchiam os critérios. No entanto, as etapas não foram efetivadas totalmente como preconizado pelo protocolo institucional; e não foi administrado o antibiótico de largo espectro recomendado.