Sepsis grave/shock séptico: ¿hacemos lo que se supone que hay que hacer?: monitorización de la adherencia de un centro a la Surviving Sepsis Campaign = Severe sepsis/septic shock: do we do what we are supposed to do?: monitoring the adherence of one centre to the Surviving Sepsis Campaign

Aims: To monitor adherence to the recommendations of the Surviving Sepsis Campaign during the first six hours of intervention for severe sepsis/septic shock in an academic tertiary care center. Methods: Cases of patients who were admitted into the Intensive Care Unit of the University Hospital Complex A Coruña, Galicia, Spain, during the months of May-June 2009, with criteria for severe sepsis/septic shock, were analyzed using an observational prospective study. We studied five indicators that comprise the set of intervention measures within the first six hours of diagnosis of severe shock/septic shock: delay on the onset of resuscitation, determination of blood lactate, obtaining appropriate cultures before starting antibiotics, delay on the onset of appropriate antibiotics, and initial resuscitation. Results: In the 13 patients studied, hospital mortality was 30. 8% (95% CI: 9. 09-61. 42). The average APACHE II was 25. 46±9. 38. The delay in initiation of antibiotic treatment was 1. 23±1. 76 hours. The average delay in initiation of resuscitation from presentation of symptoms was 3. 83±8. 85 hours. In 84. 62% (95% IC: 54. 55-98. 08) of the patients, central oxygen saturation was higher than 70% within the first six hours of diagnosis. Conclusions: Adherence to the set of measures of resuscitation from severe sepsis/septic shock was high