title: World Federation of Pediatric Intensive Care and Critical Care Societies: Global Sepsis Initiative.
abstract: BACKGROUND
  According to World Health Organization estimates, sepsis accounts for 60%-80% of lost lives per year in childhood. Measures appropriate for resource-scarce and resource-abundant settings alike can reduce sepsis deaths. In this regard, the World Federation of Pediatric Intensive Care and Critical Care Societies Board of Directors announces the Global Pediatric Sepsis Initiative, a quality improvement program designed to improve quality of care for children with sepsis.
  
  
  OBJECTIVE
  To announce the global sepsis initiative; to justify some of the bundles that are included; and to show some preliminary data and encourage participation.
  
  
  METHODS
  The Global Pediatric Sepsis Initiative is developed as a Web-based education, demonstration, and pyramid bundles/checklist tool (http://www.pediatricsepsis.org or http://www.wfpiccs.org). Four health resource categories are included. Category A involves a nonindustrialized setting with mortality rate <5 yrs and >30 of 1,000 children. Category B involves a nonindustrialized setting with mortality rate <5 yrs and <30 of 1,000 children. Category C involves a developing industrialized nation. In category D, developed industrialized nation are determined and separate accompanying administrative and clinical parameters bundles or checklist quality improvement recommendations are provided, requiring greater resources and tasks as resource allocation increased from groups A to D, respectively.
  
  
  RESULTS
  In the vanguard phase, data for 361 children (category A, n = 34; category B, n = 12; category C, n = 84; category D, n = 231) were successfully entered, and quality-assurance reports were sent to the 23 participating international centers. Analysis of bundles for categories C and D showed that reduction in mortality was associated with compliance with the resuscitation (odds ratio, 0.369; 95% confidence interval, 0.188-0.724; p < .0004) and intensive care unit management (odds ratio, 0.277; 95% confidence interval, 0.096-0.80) bundles.
  
  
  CONCLUSIONS
  The World Federation of Pediatric Intensive Care and Critical Care Societies Global Pediatric Sepsis Initiative is online. Success in reducing pediatric mortality and morbidity, evaluated yearly as a measure of global child health care quality improvement, requires ongoing active recruitment of international participant centers. Please join us at http://www.pediatricsepsis.org or http://www.wfpiccs.org.
authors: University of British Columbia, BC Children's Hospital, Vancouver, BC, Canada. nkissoon@cw.bc.ca
authors: Niranjan
authors: N
authors: Kissoon
authors: Joseph A
authors: JA
authors: Carcillo
authors: Victor
authors: V
authors: Espinosa
authors: Andrew
authors: A
authors: Argent
authors: Denis
authors: D
authors: Devictor
authors: Maureen
authors: M
authors: Madden
authors: Sunit
authors: S
authors: Singhi
authors: Edwin
authors: E
authors: van der Voort
authors: Jos
authors: J
authors: Latour
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D046688:Child Mortality / Q000639:trends; D002675:Child, Preschool; D003299:Cooperative Behavior; D003422:Critical Care; D019049:Developed Countries; D014943:Global Health; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric; D017063:Outcome Assessment, Health Care; D016730:Program Development; D018805:Sepsis; D012952:Societies
chemical_list: D000900:Anti-Bacterial Agents