MODERN POSSIBILITIES OF SCREENING AND EARLY IDENTIFICATION OF CRITICAL CONDITIONS IN OBSTETRICS CAUSED BY SEPSIS

Аннотация

The issues of prediction and early diagnosis of emergency and critical conditions in obstetrics associated with sepsis are currently debatable. Recently, various screening systems for quantitative assessment of the severity of the condition of obstetric patients have been developed and are being implemented in clinical practice, designed to identify high-risk groups for developing organ dysfunctions, predict adverse outcomes, and make decisions regarding the place of provision and the amount of medical care. However, none of them can be accepted as the only and unified for practical use, due to the presence of both advantages and disadvantages. The rating systems recommended for early diagnosis of maternal sepsis are traditionally qSOFA, SIRS, SOS scales. The aim of the study was to assess the acceptability and informativeness of the qSOFA, SIRS, SOS scales in early diagnosis and prediction of adverse outcomes in septic conditions in obstetric practice. Each of the scales can be used in clinical obstetric practice. However, an isolated assessment of the patient's condition according to any one of them is not recommended; a comprehensive combined assessment is required for each of the screening scales. According to our data, the SOS scale was more informative in predicting critical conditions and screening for sepsis. The qSOFA and SIRS scales are convenient for institutions with limited resources and inaccessibility of rapid laboratory diagnostics, which absolutely does not exclude their widespread use in obstetric institutions of any level.