Table 6.
Pediatric Sepsis 6 interventions and timeliness of interventions in the PED.
| Pediatric sepsis 6 (PS6) interventions in PED | |||
|---|---|---|---|
| All children with fever and warning signsa |
Children with IBI/PICU N = 11 |
||
| No PS6 interventions | N (%) | 1,062 (65%) | 0 |
| Intravenous access | N (%) | 265 (16%) | 11 (100%) |
| Blood gas | N (%) | 152 (9%) | 10 (91%) |
| Within 60 min of ED arrival | 24 (1%) | 6 (55%) | |
| Time to (median, IQR) | 119 (84–166) | 55 (41–148) | |
| Intravenous antibiotics | N (%) | 121 (7%) | 10 (91%)c |
| Within 60 min of ED arrival | 12 (0.7%) | 5 (45%) | |
| Time to (median, IQR) | 184 (114–235) | 40 (23–197) | |
| Intravenous fluid bolus | N (%) | 39 (2%) | 6 (55%) |
| Within 60 min of ED arrival | 8 (0.5%) | 4 (36%) | |
| Time to (median, IQR) | 114 (61–172) | 49 (25–154) | |
| Senior review by doctor of ST3 grade and above | N (%) | 440 (27%) | 11 (100%) |
| Within 60 min of ED arrival | 114 (7%) | 5 (45%) | |
| Time to senior review (median, IQR) | 99 (52–161) | 121 (39–217) | |
| Inotrope drugs | N (%) | 1 (0.1%) | 1 (9%) |
| Within 60 min of ED arrival | 0 | 0 | |
| Golden hour: all PS6 interventions within first hour after arrivingb | N (%) | 5 (0.3%) | 4 (36%) |
a
Based on number of visits, n = 1,628.
b
Obtaining iv access; performing blood culture and additional laboratory investigations; performing blood gas and lactate; administering iv fluid bolus and iv antibiotics; senior review; excluding initiating inotrope drugs within the first 60 min after arriving.
c
1 child received antibiotics on admission to the ward and not in PED.
PED, pediatric emergency department; IBI, invasive bacterial infection; PICU, pediatric intensive care unit.