Pediatric sepsis protocol: evaluation before and after implementation in a university public hospital

Objective: to analyze the profile of sepsis care and the impact of implementing the pediatric sepsis managed protocol on them. Materials and method: quantitative study conducted from September 2016 to August 2017 and from September 2017 to August 2018 in a public university hospital, Paraná-BR. Data were extracted from medical records of children diagnosed with healthcare-related infection and analyzed using SPSS®, by calculating the chi-square values and bivariate analysis, with a 95% confidence interval. Results: 106 medical records were analyzed, of which 51 (48,1%) had sepsis and 27 (25,4%) had two or more episodes of sepsis, the main infectious foci were pneumonia and associated or related bloodstream infection of the catheter, in addition the use of orotracheal tube and tracheostomy favored the evolution to sepsis. The most common signs of sepsis were changes in temperature, increased respiratory rate and signs of organ dysfunction with oxygen desaturation. There was a reduction in hospitalization time, re-hospitalization rates and death after the implementation of the protocol. Conclusion: the use of the protocol allowed improvements in care after its implementation. In this study, the importance of improving the records in the medical record for the assessment of possibility of positive changes in care.