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Postgraduate Thesis: Management of severe sepsis in patients admitted to intensive care units in Hong Kong, focus on early blood culture taking and starting of antibiotics
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TitleManagement of severe sepsis in patients admitted to intensive care units in Hong Kong, focus on early blood culture taking and starting of antibiotics
 
AuthorsLam, Koon-ngai
林冠毅
 
Issue Date2012
 
PublisherThe University of Hong Kong (Pokfulam, Hong Kong)
 
AbstractObjectives To assess the compliance of HK intensive care units to early taking of blood culture and early administration of board-spectrum antibiotics and to discuss the reasons behind the observed phenomenon. Design Retrospective review of the data from a prospective cohort study. Setting Six intensive care unit across Hong Kong. Participants 102 adult patients with severe sepsis who were admitted to these intensive care units in July 2009. The organizational characteristics of participating centres, the patients’ baseline characteristics, the achievement of targets within the resuscitation and management bundles, and outcome data were recorded. Results Compliance with early taking of the blood cultures is 64.7% and compliance with early administration of antibiotics was 55.9%. There is no significant difference in time to antibiotics administration across different source of sepsis, different hospital/ICU and present or absent of persistent hypotension. Conclusions Compliance of early blood culture and early antibiotic administration in Hong Kong cohort were comparable to international cohorts
 
DescriptionThesis (P. Dip.)--University of Hong Kong, 2012.
"This work is submitted to Faculty of Medicine of the University of Hong Kong in partial fulfillment of the requirements for the Postgraduate Diploma in Infectious Diseases, PDipID (HK)."
Includes bibliographical references (p. 11-13).
 
DegreePostgraduate Diploma in Infectious Diseases
 
SubjectSepticemia -- Treatment -- China -- Hong Kong.
 
Dept/ProgramMicrobiology
 
DC FieldValue
dc.contributor.authorLam, Koon-ngai
 
dc.contributor.author林冠毅
 
dc.date.accessioned2012-11-01T02:50:33Z
 
dc.date.available2012-11-01T02:50:33Z
 
dc.date.issued2012
 
dc.description.abstractObjectives To assess the compliance of HK intensive care units to early taking of blood culture and early administration of board-spectrum antibiotics and to discuss the reasons behind the observed phenomenon. Design Retrospective review of the data from a prospective cohort study. Setting Six intensive care unit across Hong Kong. Participants 102 adult patients with severe sepsis who were admitted to these intensive care units in July 2009. The organizational characteristics of participating centres, the patients’ baseline characteristics, the achievement of targets within the resuscitation and management bundles, and outcome data were recorded. Results Compliance with early taking of the blood cultures is 64.7% and compliance with early administration of antibiotics was 55.9%. There is no significant difference in time to antibiotics administration across different source of sepsis, different hospital/ICU and present or absent of persistent hypotension. Conclusions Compliance of early blood culture and early antibiotic administration in Hong Kong cohort were comparable to international cohorts
 
dc.description.naturepublished_or_final_version
 
dc.descriptionThesis (P. Dip.)--University of Hong Kong, 2012.
 
dc.description"This work is submitted to Faculty of Medicine of the University of Hong Kong in partial fulfillment of the requirements for the Postgraduate Diploma in Infectious Diseases, PDipID (HK)."
 
dc.descriptionIncludes bibliographical references (p. 11-13).
 
dc.description.thesisdisciplineMicrobiology
 
dc.description.thesislevelPostgraduate diploma
 
dc.description.thesisnamePostgraduate Diploma in Infectious Diseases
 
dc.identifier.hkulb4832056
 
dc.identifier.urihttp://hdl.handle.net/10722/173740
 
dc.languageeng
 
dc.publisherThe University of Hong Kong (Pokfulam, Hong Kong)
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.rightsThe author retains all proprietary rights, (such as patent rights) and the right to use in future works.
 
dc.subject.lcshSepticemia -- Treatment -- China -- Hong Kong.
 
dc.titleManagement of severe sepsis in patients admitted to intensive care units in Hong Kong, focus on early blood culture taking and starting of antibiotics
 
dc.typePG_Thesis
 
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<item><contributor.author>Lam, Koon-ngai</contributor.author>
<contributor.author>&#26519;&#20896;&#27589;</contributor.author>
<date.accessioned>2012-11-01T02:50:33Z</date.accessioned>
<date.available>2012-11-01T02:50:33Z</date.available>
<date.issued>2012</date.issued>
<identifier.uri>http://hdl.handle.net/10722/173740</identifier.uri>
<description>Thesis (P. Dip.)--University of Hong Kong, 2012.</description>
<description>&quot;This work is submitted to Faculty of Medicine of the University of Hong Kong in partial fulfillment of the requirements for the Postgraduate Diploma in Infectious Diseases, PDipID (HK).&quot;</description>
<description>Includes bibliographical references (p. 11-13).</description>
<description.abstract>Objectives To assess the compliance of HK intensive care units to early taking of
blood culture and early administration of board-spectrum antibiotics and to discuss the
reasons behind the observed phenomenon.
Design Retrospective review of the data from a prospective cohort study.
Setting Six intensive care unit across Hong Kong.
Participants 102 adult patients with severe sepsis who were admitted to these
intensive care units in July 2009. The organizational characteristics of participating
centres, the patients&#8217; baseline characteristics, the achievement of targets within the
resuscitation and management bundles, and outcome data were recorded.
Results Compliance with early taking of the blood cultures is 64.7% and compliance
with early administration of antibiotics was 55.9%. There is no significant difference in
time to antibiotics administration across different source of sepsis, different hospital/ICU
and present or absent of persistent hypotension.
Conclusions Compliance of early blood culture and early antibiotic administration in
Hong Kong cohort were comparable to international cohorts</description.abstract>
<language>eng</language>
<publisher>The University of Hong Kong (Pokfulam, Hong Kong)</publisher>
<rights>Creative Commons: Attribution 3.0 Hong Kong License</rights>
<rights>The author retains all proprietary rights, (such as patent rights) and the right to use in future works.</rights>
<subject.lcsh>Septicemia -- Treatment -- China -- Hong Kong.</subject.lcsh>
<title>Management of severe sepsis in patients admitted to intensive care units in Hong Kong, focus on early blood culture taking and starting of antibiotics</title>
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<bitstream.url>http://hub.hku.hk/bitstream/10722/173740/1/FullText.pdf</bitstream.url>
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