Öz
Maternal sepsis is a life-threatening condition characterized by organ dysfunction due to infection at pregnancy, delivery, post-abortive period, or postpartum period. It is the third leading cause of maternal mortality worldwide after postpartum bleeding and preeclampsia. The sepsis rates in pregnancy increased by 30-33% in recent years, the mortality rates associated with sepsis are incredibly high, with 4-50%, and 70% of deaths occur due to suboptimal care. By providing proper care, possible negative consequences can be prevented and/or corrected. In this review, we aimed to review the information about risky situations and to take the necessary precautions, not delay the diagnosis in case of doubt, and to start the treatment as soon as possible.
Kaynakça
- 1. WHO fact sheets, Maternal Mortality, 17.02.2018, https://www.who. int /news-room/fact- sheets/detail/maternal-mortality
- 2. Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health 2014; 2:e323-333.
- 3. Sappenfield E, Jamieson DJ, Kourtis AP. Pregnancy and susceptibility to infectious diseases. Infect Dis Obstet Gynecol 2013; 2013:752852.
- 4. WHO, Statement on Maternal Sepsis, 2017, WHO/RHR/17.02, https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/
- 5. FIGO, Sepsis and its impact on maternal mortality, 2018 In: FIGO news, Health for All, Maternal Health; https://www.figo.org/news/sepsis-and-its-impact-maternal-mortality-0016055
- 6. Padilla C, Palanisamy A. Managing Maternal Sepsis: Early Warning Criteria to ECMO. Clin Obstet Gynecol 2017; 60:418-424.
- 7. Bonet M, Souza JP, Abalos E, et al. The global maternal sepsis study and awareness campaign (GLOSS): study protocol. Reprod Health 2018; 30:15:16.
- 8. TC Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü, 2018, Acil Obstetrik Bakım Yönetim Rehberi, ISBN: 978-975-590-687-4, https://dosyamerkez.saglik. gov .tr/Eklenti/28084,acilobstetrikbakimyonetimrehberipdf.pdf?0
- 9. Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) JAMA 2016; 315(8):801-810.
- 10. Raith EP, Udy AA, Bailey M, et al. Prognostic Accuracy of the SOFA Score, SIRS Criteria, and qSOFA Score for In-Hospital Mortality Among Adults with Suspected Infection Admitted to the Intensive Care Unit. JAMA 2017; 317:290-300.
- 11. Bowyer L, Robinson HL, Barrett H, et al. SOMANZ guidelines for the investigation and management sepsis in pregnancy. Aust N Z J Obstet Gynaecol 2017; 57:540-551.
- 12. Plante LA. Management of Sepsis and Septic Shock for the Obstetrician-Gynecologist. Obstet Gynecol Clin North Am 2016; 43:659-678.
- 13. Dellinger RP, Levy MM, Rhodes A, et al. Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med 2013; 41:580–637.
Öz
Maternal sepsis; gebelik, doğum, düşük veya doğum sonrası dönemde oluşan, enfeksiyon sonucu gelişen organ disfonksiyonu ile karakterize, hayatı tehdit eden bir durumdur. Kanama ve preeklampsiden sonra dünya genelinde maternal mortalitenin en önde gelen 3. nedenidir. Gebelikte sepsis oranlarında son yıllarda %30-33 oranında artış görülmesi, sepsise bağlı ölüm oranlarının %4-50 oranlarıyla son derece yüksek olması ve ölümlerin %70’inin suboptimal bakım nedeniyle gerçekleşmesi sepsis ile ilgili farkındalığın artmasına sebep olmuştur. Uygun bakımın sağlanmasıyla olası olumsuz sonuçlar önlenebilir ve/veya düzeltilebilir. Bu derlemede riskli durumların belirlenmesi, gerekli tedbirlerin alınması, şüphe durumunda tanı için gecikilmemesi ve tedavinin en erken süreçte başlanmasıyla ilgili bilgilerin gözden geçirilmesi amaçlanmaktadır.
Kaynakça
- 1. WHO fact sheets, Maternal Mortality, 17.02.2018, https://www.who. int /news-room/fact- sheets/detail/maternal-mortality
- 2. Say L, Chou D, Gemmill A, et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health 2014; 2:e323-333.
- 3. Sappenfield E, Jamieson DJ, Kourtis AP. Pregnancy and susceptibility to infectious diseases. Infect Dis Obstet Gynecol 2013; 2013:752852.
- 4. WHO, Statement on Maternal Sepsis, 2017, WHO/RHR/17.02, https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/maternalsepsis-statement/en/
- 5. FIGO, Sepsis and its impact on maternal mortality, 2018 In: FIGO news, Health for All, Maternal Health; https://www.figo.org/news/sepsis-and-its-impact-maternal-mortality-0016055
- 6. Padilla C, Palanisamy A. Managing Maternal Sepsis: Early Warning Criteria to ECMO. Clin Obstet Gynecol 2017; 60:418-424.
- 7. Bonet M, Souza JP, Abalos E, et al. The global maternal sepsis study and awareness campaign (GLOSS): study protocol. Reprod Health 2018; 30:15:16.
- 8. TC Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü, 2018, Acil Obstetrik Bakım Yönetim Rehberi, ISBN: 978-975-590-687-4, https://dosyamerkez.saglik. gov .tr/Eklenti/28084,acilobstetrikbakimyonetimrehberipdf.pdf?0
- 9. Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) JAMA 2016; 315(8):801-810.
- 10. Raith EP, Udy AA, Bailey M, et al. Prognostic Accuracy of the SOFA Score, SIRS Criteria, and qSOFA Score for In-Hospital Mortality Among Adults with Suspected Infection Admitted to the Intensive Care Unit. JAMA 2017; 317:290-300.
- 11. Bowyer L, Robinson HL, Barrett H, et al. SOMANZ guidelines for the investigation and management sepsis in pregnancy. Aust N Z J Obstet Gynaecol 2017; 57:540-551.
- 12. Plante LA. Management of Sepsis and Septic Shock for the Obstetrician-Gynecologist. Obstet Gynecol Clin North Am 2016; 43:659-678.
- 13. Dellinger RP, Levy MM, Rhodes A, et al. Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med 2013; 41:580–637.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Kadın Hastalıkları ve Doğum |
| Bölüm | Derleme |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Mart 2020 |
| Kabul Tarihi | 14 Mart 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 2 Sayı: 1 |
