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      Effect of a multifaceted educational intervention for anti-infectious measures on sepsis mortality: a cluster randomized trial.

      1 , 2 , 1 , 2 , 1 , 2 , 1 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 3 , 1 , 6 , 15 , 16 , 1 , 2 , 17 , 18 , 19 , 20 , 21 , 8 , 22 , 23 , 24
      Intensive care medicine
      Springer Nature
      Antimicrobial agents, Critical illness, Quality improvement, Septic shock/drug therapy

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          Abstract

          Guidelines recommend administering antibiotics within 1 h of sepsis recognition but this recommendation remains untested by randomized trials. This trial was set up to investigate whether survival is improved by reducing the time before initiation of antimicrobial therapy by means of a multifaceted intervention in compliance with guideline recommendations.

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          Author and article information

          Journal
          Intensive Care Med
          Intensive care medicine
          Springer Nature
          1432-1238
          0342-4642
          May 02 2017
          Affiliations
          [1 ] Center for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.
          [2 ] Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.
          [3 ] Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany.
          [4 ] Service Prévention et Contrôle de l'Infection, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
          [5 ] Department of Anaesthesia and Intensive Care Medicine, Zentralklinik Bad Berka GmbH, Bad Berka, Germany.
          [6 ] Department of Anesthesiology and Intensive Care Medicine, University Hospital Greifswald, Greifswald, Germany.
          [7 ] Department of Surgery and the Li Ka Shing Knowledge Institute, St Michael's Hospital, University of Toronto, Ontario, Canada.
          [8 ] Department of Anesthesiology and Intensive Care Medicine, University Hospital Leipzig, Leipzig, Germany.
          [9 ] Division of Pulmonary and Critical Care Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
          [10 ] Department of Anesthesiology, University Hospital Ulm, Ulm, Germany.
          [11 ] Department of Anesthesiology and Intensive Care Medicine, University Hospital Oldenburg, Oldenburg, Germany.
          [12 ] Department of Anesthesiology, Surgical Intensive Care Medicine and Pain Therapy, Vivantes Hospital Neukölln, Berlin, Germany.
          [13 ] Department of Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany.
          [14 ] Department of Anesthesiology and Intensive Care Medicine, University Hospital Rostock, Rostock, Germany.
          [15 ] Department of Anesthesiology, Intensive Care, Transfusion and Emergency Medicine and Pain Therapy, Bethel Hospital Bielefeld, Bielefeld, Germany.
          [16 ] Department of Internal Medicine, University Hospital Tübingen, Tübingen, Germany.
          [17 ] Department of Anesthesiology and Intensive Care Medicine, Hospital of the Bundeswehr Berlin, Berlin, Germany.
          [18 ] Department of Anesthesiology and Intensive Care Medicine, University Medical Center Kiel, Kiel, Germany.
          [19 ] Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Helios Hospital Erfurt, Erfurt, Germany.
          [20 ] Department of Anesthesiology and Intensive Care Medicine, University Hospital Tübingen, Tübingen, Germany.
          [21 ] Department of Intensive Care Medicine, Helios Hospital Wuppertal, Wuppertal, Germany.
          [22 ] University Hospital Ulm, Ulm, Germany.
          [23 ] Center for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany. konrad.reinhart@med.uni-jena.de.
          [24 ] Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany. konrad.reinhart@med.uni-jena.de.
          Article
          10.1007/s00134-017-4782-4
          10.1007/s00134-017-4782-4
          28466151
          ed22dde0-ec48-40b9-a62f-2120d022b11f
          History

          Antimicrobial agents,Critical illness,Quality improvement,Septic shock/drug therapy

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