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Sepsis, N/IICU — High-risk Conditions — Clinical Pathway: ICU and Inpatient

Suspected Sepsis Clinical Pathway — N/IICU

High-risk Conditions

  • Corrected age < term (37 wks)
  • Central line, especially if present for more than 2-3 wks (risk increases with increasing dwell time)
  • Presence of hardware (e.g., Foley catheter, VP shunt, EVD, neurosurgical devices, ECMO, cardiac hardware, pleural or peritoneal drains)
  • Previous bloodstream infection
  • History of MSSA or MRSA colonization
  • Surgical anomalies
  • Congenital anomaly requiring surgery
  • Concerns with skin integrity
  • Lymphatic conditions
  • Metabolic conditions
  • Malignancy
  • Immunocompromised
  • Steroid use
  • Proton pump inhibitor or H2 blocker use
  • Asplenia
  • Static encephalopathy

 

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