Cluster strategy to improve pr

Peking Union Medical College Hospital intensive care (ICU), a "cluster" therapeutic strategies, so that the hospital mortality of severe infection in immunosuppressive population from 78.6% per cent. &Nbsp; the so-called "cluster" policy refers to, is effective in reducing severe infection in immunosuppressive population death rate of a variety of treatment measures for induction, selection, based on treatment demand developed a detailed flowchart in chronological order, each step in the process of strict time limits, so that every patient can require time to be the most effective treatment. &Nbsp; in the treatment of severe infection in immunosuppressed populations, "cluster" implementation of the strategy include the correct decision, support, treatment and health care combined with three important content. ICU physician first need of patient history, early treatment, clinical manifestation, caters, image data, organ function, such as rapid assessment, make a preliminary judgment quickly. If you suspect that the patients are infections you will need to leave a culture samples in 1 hour and the rational use of antibiotics; if patients complicated by organ dysfunction, physicians complete shock and resuscitation in 6 hours is required, within 24 hours of taking a series of organ protection and support measures to win precious time for onset of antibiotics. Physician combination biomarkers in 24-48 hours, microbiology or invasive examination results, further titration antibiotics so that patients most appropriate treatment within shortest time on. &Nbsp; can say "cluster" policy listed at each point in time the established objectives and specific programmes to ensure its implementation. Programme implementation is required for each step in the best health care cooperation. Since 2006, the ICU application "cluster" strategic guide to the treatment of such patients (a total of 103 cases), so that the mortality from 78.6% per cent of the population, achieved encouraging results.