Criteria for maternal sepsis - both of the following:
(1) >= 2 SIRS criteria present
(2) infection suspected after medical evaluation
SIRS criteria:
(1) temperature < 36.0°C or >= 38.0°C
(2) respiratory rate >= 20 breaths per minute
(3) heart rate >= 100 beats per minute
(4) WBC count < 4,000 per µL or > 16,900 per µL
(5) blood glucose > 7.7 mmol/L in the absence of diabetes
(6) acute change in mental status
number of SIRS criteria present =
= SUM(points for all of the parameters)
Clinical intervention to suspected maternal sepsis:
(1) complete "sepsis six" (3 takes plus 3 gives) within 1 hour
(2) "three takes": appropriate cultures; urine output every hour; CBC and serum lactate
(3) "three gives": oxygen saturation maintained >= 94%; consider IV fluid bolus; IV antibiotics
