Background: Infections leading to sepsis are major contributors to mortality and morbidity in children world-wide. Determining the capacity of pediatric hospitals in Nigeria to manage sepsis establishes an important baseline for quality-improvement interventions and resource allocations. Objectives: To assess the availability and functionality of resources and manpower for early detection and prompt management of sepsis in children at tertiary pediatric centers in Nigeria. Methods: This was an online survey of tertiary pediatric hospitals in Nigeria using a modified survey tool designed by the World Federation of Pediatric Intensive and Critical Care Societies (WFPICCS). The survey addressed all aspects of pediatric sepsis identification, management, barriers and readiness. Results: While majority of the hospitals 97% (28/29) reported having adequate triage systems, only 60% (16/27) follow some form of guideline for sepsis management. There was no consensus national guideline for management of pediatric sepsis. Over 50% of the respondents identified deficit in parental education, poor access to healthcare services, failure to diagnose sepsis at referring institutions, lack of medical equipment and lack of a definitive protocol for managing pediatric sepsis, as significant barriers. Conclusions: Certain sepsis-related interventions were reportedly widespread, however, there is no standardized sepsis protocol, and majority of the hospitals do not have pediatric intensive care units (PICU). These findings could guide quality improvement measures at institutional level, and healthcare policy/spending at the national level.

中文翻译：

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尼日利亚三级护理中心应对儿童败血症的资源的国家调查。

背景：导致败血症的感染是导致世界各地儿童死亡率和发病率的主要因素。确定尼日利亚的儿科医院管理败血症的能力为质量改善干预措施和资源分配奠定了重要的基础。目标：评估尼日利亚三级儿科中心对儿童败血症的早期检测和及时管理的资源和人力的可用性和功能。方法：这是对尼日利亚三级儿科医院的在线调查，使用的是由世界儿科重症监护和重症监护学会联合会（WFPICCS）设计的改进的调查工具。该调查涉及小儿败血症的鉴定，管理，障碍和准备的各个方面。结果：尽管大多数医院中97％（28/29）的医院报告有适当的分类系统，但只有60％（16/27）的医院遵循某些形式的脓毒症治疗指南。对于小儿败血症的治疗尚无共识的国家指南。超过50％的受访者认为父母教育不足，无法获得医疗服务，在转诊机构无法诊断出败血症，缺少医疗设备以及缺乏确定的治疗小儿败血症的方法是重大障碍。结论：据报道，某些与脓毒症相关的干预措施广泛存在，但是，尚无标准化的脓毒症治疗方案，并且大多数医院没有小儿重症监护室（PICU）。这些发现可以指导机构一级的质量改进措施，以及国家一级的医疗保健政策/支出。