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Choudhary R, Watakulsin P, Promduangsi P, Chuenchom N, Khemla S, Lurchachaiwong W, Mock P, Heffelfinger JD, MacArthur JR, Bloss E, Thamthitiwat S, Rao CY. Underdiagnosis in clinical documentation of community-acquired sepsis among children admitted to hospitals in two rural provinces: Thailand, October-December 2017. BMJ Paediatr Open 2024; 8:e002293. [PMID: 38413125 PMCID: PMC10900380 DOI: 10.1136/bmjpo-2023-002293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 01/19/2024] [Indexed: 02/29/2024] Open
Abstract
Paediatric sepsis prevalence data from low-income and middle-income countries are lacking. In a cross-sectional study, we assessed clinician recognition and documentation of non-neonatal community-acquired paediatric sepsis in two rural border provinces in Thailand among children admitted between October and December 2017. Of the 152 children meeting sepsis criteria (26.9 paediatric sepsis patients per 1000 admissions), 15 (9.9%) had a clinician-documented admission diagnosis of sepsis or septic shock and 18 (11.8%) had a discharge diagnosis with International Classification of Diseases-10 codes related to sepsis. Clinician underdocumentation may cause challenges in global paediatric sepsis surveillance.
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Affiliation(s)
- Rewa Choudhary
- Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
- Division of Global Health Protection, Centers for Disease Control and Prevention Global Health Center, Atlanta, Georgia, USA
| | - Peeriya Watakulsin
- Department of Disease Control (DDC), Royal Thai Government Ministry of Public Health, Bangkok, Thailand
| | - Pitiphon Promduangsi
- Department of Disease Control (DDC), Royal Thai Government Ministry of Public Health, Bangkok, Thailand
| | | | | | | | - Philip Mock
- Totally Joined for Achieving Collaborative Techniques (TJFACT) LLC, Atlanta, Georgia, USA
| | - James D Heffelfinger
- Division of Global Health Protection, Centers for Disease Control and Prevention Global Health Center, Atlanta, Georgia, USA
- Thailand Ministry of Public Health-US CDC Collaboration, Bangkok, Thailand
| | - John R MacArthur
- Division of Global Health Protection, Centers for Disease Control and Prevention Global Health Center, Atlanta, Georgia, USA
- Thailand Ministry of Public Health-US CDC Collaboration, Bangkok, Thailand
| | - Emily Bloss
- Division of Global Health Protection, Centers for Disease Control and Prevention Global Health Center, Atlanta, Georgia, USA
- Thailand Ministry of Public Health-US CDC Collaboration, Bangkok, Thailand
| | | | - Carol Y Rao
- Division of Global Health Protection, Centers for Disease Control and Prevention Global Health Center, Atlanta, Georgia, USA
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