The Improving Diagnosis and Treatment of Maternal Sepsis toolkit was developed by the Maternal Sepsis Task Force as a resource for obstetricians, rapid response teams, and intensive care units who interact with women during pregnancy and in the postpartum period. The toolkit introduces a new two-step screening and confirmation process to more accurately diagnose and treat maternal sepsis.
Key Elements and resources include:
- A new two-step approach to screening
- Algorithm for Maternal Sepsis Evaluation Flow Chart
- Assessment and monitoring recommendations
- Guidelines for distinguishing chorioamnionitis/intraamniotic infection from sepsis
- Guidance on antibiotics and source control by infectious conditions
The toolkit is available to download after logging into CMQCC's website. If you do not already have a CMQCC Account, you will need to complete a brief survey to initialize an account.
Errata: Appendix A Updated
The table in Appendix A was meant to provide the operational differences between clinical criteria for sepsis and not definitions as we used the word "term" and not "definition." To further clarify, “Clinical Criteria” has been added at the top of the first column of this table. Additionally, there was a typo in the Sepsis clinical criteria in the Sepsis-3 column. It should have said SOFA, not qSOFA. What erroneously stated "infection and qSOFA of 2 or more" has been changed to "Organ dysfunction (SOFA score of > 2 or more from baseline) caused by infection".
Individual sections of the toolkit are also available to download by clicking on the links below:
Appendix B: CMS Sepsis-1 Accommodations for Special Populations
Appendix C: Justification for Adjustments to CMS Sepsis-1 Criteria for End Organ Injury
Appendix D: Maternal Sepsis Evaluation Flow Chart
Appendix E: Collecting a Urine Specimen from a Foley Catheter
Appendix F: The Importance of Taking a Respiratory Rate
Appendix G: How to Take an Oral Temperature Measurement
Appendix H: Team Reassessment Communication
Appendix I: Sample, Maternal Sepsis Debriefing Form
Appendix J: UC Davis Health Maternal Sepsis Drill Scenario
Appendix K: Maternal Sepsis Sample Education Outline
Appendix L: Lactation Safety of Antimicrobials Used for Treatment of Sepsis
Appendix M: Sample, Sutter Health Sepsis Order Set