Treatment protocols for pediatric sepsis are structured to ensure rapid and effective care:
Antimicrobial Therapy: Empirical broad-spectrum antibiotics should be initiated within the first hour of recognition. Once the pathogen is identified, therapy can be tailored accordingly. Fluid Resuscitation: Rapid administration of 20-30 ml/kg of isotonic crystalloids within the first hour is recommended to combat hypoperfusion. Vasoactive Agents: If hypotension persists after adequate fluid resuscitation, vasoactive agents like dopamine or epinephrine may be required. Source Control: Identifying and controlling the source of infection, such as draining an abscess, is crucial. Corticosteroids: In cases of refractory septic shock, corticosteroids may be considered.
