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<!DOCTYPE html><html><head><title>Sepsis Management in Resource-limited Settings - Google Books</title><link rel="stylesheet" href="/books/css/_ff77d0f0508c7e0bad470e7d6b7f28fa/kl_viewport_kennedy_full_bundle.css" type="text/css" /><link rel="stylesheet"href="https://fonts.googleapis.com/css2?family=Product+Sans:wght@400"><script src="/books/javascript/v2_ff77d0f0508c7e0bad470e7d6b7f28fa__en.js"></script><script>_OC_Hooks = ["_OC_Page", "_OC_SearchReload", "_OC_TocReload", "_OC_EmptyFunc", "_OC_SearchPage", "_OC_QuotePage" ];for (var _OC_i = 0; _OC_i < _OC_Hooks.length; _OC_i++) {eval("var " + _OC_Hooks[_OC_i] + ";");}function _OC_InitHooks () {for (var i = 0; i < _OC_Hooks.length; i++) {var func = arguments[i];eval( _OC_Hooks[i] + " = func;");}}</script><link rel="canonical" href="https://books.google.com/books/about/Sepsis_Management_in_Resource_limited_Se.html?id=MkWHDwAAQBAJ"/><meta property="og:url" content="https://books.google.com/books/about/Sepsis_Management_in_Resource_limited_Se.html?id=MkWHDwAAQBAJ"/><meta name="title" content="Sepsis Management in Resource-limited Settings"/><meta name="description" content="This book is open access under a CC BY 4.0 license. It constitutes a unique source of knowledge and guidance for all healthcare workers who care for patients with sepsis and septic shock in resource-limited settings.More than eighty percent of the worldwide deaths related to sepsis occur in resource-limited settings in low and middle-income countries. Current international sepsis guidelines cannot be implemented without adaptations towards these settings, mainly because of the difference in local resources and a different spectrum of infectious diseases causing sepsis. This prompted members of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Tropical Medicine Research Unit (MORU, Bangkok, Thailand) - among which the Editors – to develop with an international group of experts a comprehensive set of recommendations for the management of sepsis in resource-limited settings. Recommendations are based on both current scientific evidence and clinical experience of clinicians working in resource-limited settings. The book includes an overview chapter outlining the current challenges and future directions of sepsis management as well as general recommendations on the structure and organization of intensive care services in resource-limited settings. Specific recommendations on the recognition and management of patients with sepsis and septic shock in these settings are grouped into seven chapters. The book provides evidence-based practical guidance for doctors in low and middle income countries treating patients with sepsis, and highlights areas for further research and discussion. 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We recommend \u003cb\u003ehand hygiene\u003c/b\u003e after each patient contact with an alcohol - based solution ( 1A ) . Exception are \u003cb\u003ehand hygiene\u003c/b\u003e in the context of Ebola virus disease requiring chlorine - based solutions ( 1C ) and\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA33\u0026vq=hand+hygiene"},{"page_id":"PA43","page_number":"43","snippet_text":"... \u003cb\u003ehand hygiene\u003c/b\u003e is the most effective method of reducing healthcare - acquired infections . Healthcare workers can contaminate hands and medical devices with even a single contact with the patient or his / her immediate surroundings\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA43\u0026vq=hand+hygiene"},{"page_id":"PA44","page_number":"44","snippet_text":"... hand rub dispensers adjacent to each ICU bed and regular feedback to healthcare workers [88]. In a Vietnamese tertiary ICU, the com- bination of \u003cb\u003ehand hygiene\u003c/b\u003e and antimicrobial mixing reduced MRSA infections sig- nificantly, but not the\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA44\u0026vq=hand+hygiene"},{"page_id":"PA45","page_number":"45","snippet_text":"... \u003cb\u003ehand hygiene\u003c/b\u003e and use of gloves in case of contact with blood , body fluids , or other contaminants ) did not reduce adverse events or the transmission rate of multiresistant bacteria [ 101–103 ] . Similarly , a Cochrane meta - analysis\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA45\u0026vq=hand+hygiene"},{"page_id":"PA46","page_number":"46","snippet_text":"... \u003cb\u003ehand hygiene\u003c/b\u003e; these components have not been studied separately. Other obser- vational studies confirmed these findings and suggest that the rate of central venous catheter-related bloodstream or other device-related infections can be\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA46\u0026vq=hand+hygiene"},{"page_id":"PA47","page_number":"47","snippet_text":"... \u003cb\u003ehand hygiene\u003c/b\u003e dispensers , small pocket bottles containing alcohol - based hand rub solutions can be carried , used , and refilled by each ICU worker ( Fig . 3.1 ) . A multifaceted \u003cb\u003ehand hygiene\u003c/b\u003e program ( including upgrading \u003cb\u003ehand hygiene\u003c/b\u003e\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA47\u0026vq=hand+hygiene"},{"page_id":"PA48","page_number":"48","snippet_text":"... \u003cb\u003ehand hygiene\u003c/b\u003e (1A). We recommend \u003cb\u003ehand hygiene\u003c/b\u003e after each patient contact with an alcohol-based solution (1A) or, for Ebola virus disease specifically, with chlorine-based solution (1C). In case alcohol-based solutions are unavailable, we\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA48\u0026vq=hand+hygiene"},{"page_id":"PA59","page_number":"59","snippet_text":"... \u003cb\u003ehand hygiene\u003c/b\u003e in Bangladeshi healthcare facilities : results from the Bangladesh National Hygiene Baseline Survey . J Hosp Infect . 2016 ; 94 ( 3 ) : 286–94 . 84. World Health Organization . 2009 : WHO guidelines on \u003cb\u003ehand hygiene\u003c/b\u003e in\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA59\u0026vq=hand+hygiene"},{"page_id":"PA61","page_number":"61","snippet_text":"... \u003cb\u003ehand hygiene\u003c/b\u003e program on health care - associated infec- tions in intensive care patients at a tertiary care hospital in Vietnam . Am J Infect Control . 2015 ; 43 ( 12 ) : e93–9 . 129. Nthumba PM , Stepita - Poenaru E , Poenaru D , Bird\u0026nbsp;...","page_url":"https://books.google.com.sg/books?id=MkWHDwAAQBAJ\u0026pg=PA61\u0026vq=hand+hygiene"}],"search_query_escaped":"hand hygiene"},{});</script></div></div></div><script>(function() {var href = window.location.href;if (href.indexOf('?') !== -1) {var parameters = href.split('?')[1].split('&');for (var i = 0; i < parameters.length; i++) {var param = parameters[i].split('=');if (param[0] == 'focus') {var elem = document.getElementById(param[1]);if (elem) {elem.focus();}}}}})();</script>