Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
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The incidence of maternal mortality related to sepsis has decreased during the past 2 decades because of the availability of broad spectrum antibiotics and advances in critical care. However, sepsis continues to account for approximately 7.6% of maternal deaths in the United States. ⋯ Nursing and medical management strategies are included. A case study is presented to illustrate the typical clinical course from infection, to bacteremia, sepsis, and septic shock.
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J Obstet Gynecol Neonatal Nurs · Jul 1995
ReviewToxic shock syndrome: an opportunity for nursing intervention.
Toxic Shock Syndrome (TSS) is a potentially fatal illness caused by a particular strain of Staphylococcus aureus. The clinical presentation is similar to that of septic shock. The incidence of TSS peaked in the late 1970s and early 1980s, probably as a result of availability of super absorbent tampons. ⋯ Toxic shock syndrome presents as a flu-like illness with high fever, vomiting, diarrhea, general malaise, and muscle weakness. Nursing and medical management focus on controlling or preventing potentially serious complications, such as adult respiratory distress syndrome, renal failure, electrolyte imbalances, disseminated intravascular coagulation, encephalopathy, and cardiomyopathy. Judicious use of tampons and barrier contraceptive devices may decrease the risk of developing TSS.