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Lesson 1, Topic 7
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Key Guidelines and Evidence

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Key Recommendations for Management of Pediatric Sepsis

Guideline/ SourceKey
Recommendations
Level of EvidenceStrength of Recommendation
Surviving Sepsis Campaign Guidelines (2021)  Administer antimicrobials within 1 hour of sepsis recognition  ModerateStrong
Surviving Sepsis Campaign Guidelines (2021)  Provide fluid resuscitation with 20 mL/kg crystalloid boluses over 30-60 mins to reverse hypotension  LowWeak
Surviving Sepsis Campaign Guidelines (2021)  Begin vasoactive agents if fluid refractory shock persists after 40-60 mL/kg  LowWeak
Surviving Sepsis Campaign Guidelines (2021)  Target threshold MAP of 5th percentile for ageModerateStrong
American College of Critical Care Medicine Guidelines (2009)  Use protocol-driven management approach with sepsis bundles  LowStrong
American College of Critical Care Medicine Guidelines (2009)Measure serum lactate level; normalize lactate <2 mmol/LModerateStrong