Evidence map›Paper›PMID 40606063›Full record

ArticleOpen forum infectious diseases2025

A Multicenter Study in Northern Italy to Evaluate the Impact of a Sepsis Bundle in Obstetric Settings: The SOS Study.

Marta Colaneri, Simona Biscarini, Lara Tiranini, Rebecca Pesare, Pietro Valsecchi, Elena Seminari, Arsenio Spinillo, Alessandra Bandera, Enrico Mario Ferrazzi, Andrea Gori and 20 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Marta ColaneriDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0002-5939-9576
Simona BiscariniInfectious Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID https://orcid.org/0000-0003-4988-0427
Lara TiraniniDepartment of Obstetrics and Gynecology, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.ORCID https://orcid.org/0009-0001-2981-9269
Rebecca PesareS.C. Malattie Infettive, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Pietro ValsecchiS.C. Malattie Infettive, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID https://orcid.org/0000-0002-3425-9817
Elena SeminariS.C. Malattie Infettive, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID https://orcid.org/0000-0001-5246-928X
Arsenio SpinilloDepartment of Obstetrics and Gynecology, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Alessandra BanderaInfectious Diseases Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Enrico Mario FerrazziObstetrics Unit, Department of Mother, Child and Neonate, UOC Mangiagalli Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Andrea GoriDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0001-6587-4794
Laura CarenziInfectious Diseases Unit, ASST Lariana Ospedale Sant'Anna, Como, Italy.
Luigi PusterlaInfectious Diseases Unit, ASST Lariana Ospedale Sant'Anna, Como, Italy.
Federico D'AmicoInfectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.ORCID https://orcid.org/0000-0001-7825-4922
Alessandro RaimondiInfectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Massimo PuotiInfectious Diseases Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Elisa VallicellaDepartment of Obstetrics and Gynecology, Carlo Poma Hospital, ASST Mantova, Mantova, Italy.
Gianpaolo GrisoliaDepartment of Obstetrics and Gynecology, Carlo Poma Hospital, ASST Mantova, Mantova, Italy.
Salvatore CasariInfectious Diseases Unit, ASST Ospedale Carlo Poma, Mantova, Italy.
Alice ZavattaDepartment of Woman, Mother and Neonate, V. Buzzi Children Hospital, ASST Fatebenefratelli Sacco, Milan, Italy.ORCID https://orcid.org/0000-0003-2127-4230
Irene CetinDepartment of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.ORCID https://orcid.org/0000-0002-9217-3034
Alice BonettiMicrobiology and Virology Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.ORCID https://orcid.org/0009-0001-7304-0391
Marta CorbellaMicrobiology and Virology Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.ORCID https://orcid.org/0000-0002-0969-6484
Fausto BaldantiDipartimento di Scienze Clinico-Chirurgiche, Diagnostiche e Pediatriche Università di Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0002-3358-8969
Patrizia CambieriMicrobiology and Virology Unit, IRCCS Fondazione Policlinico San Matteo, Pavia, Italy.
Paola BrambillaInfectious Diseases Unit, ASST Ospedale of Cremona, Cremona, Italy.
Catherine KlersySSD Biostatistica e Clinical Trial Center, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID https://orcid.org/0000-0003-0314-8548
Camilla TorrianiUnit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
Maria Cristina MontiUnit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.ORCID https://orcid.org/0000-0003-1586-527X
Raffaele BrunoS.C. Malattie Infettive, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Maternal Sepsis Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In 2018, Lombardy's Fight Against Sepsis in Obstetrics group developed a regional sepsis management bundle for obstetric patients. This study aimed to evaluate the impact of this bundle on maternal and neonatal clinical outcomes and on process measures. Methods: This multicenter, observational, retrospective study included data from pregnant and puerperal adult patients diagnosed with sepsis according to the Surviving Sepsis Campaign guidelines in 2 periods: May 2015 to May 2018 (prebundle) and July 2018 to January 2023 (postbundle). Results: Eighty women were included: 24 (30.0%) in the prebundle period and 56 (70.0%) in the postbundle period. The primary source of infection was urinary (40.0%), with Conclusions: The implementation of a regional maternal sepsis management bundle did not significantly alter maternal outcomes but was associated with a reduction in neonatal intensive care unit admissions, although what role bundle implementation had in this change remains uncertain. More infectious disease consultations postbundle highlight the potential role of the bundle increasing sepsis awareness among physicians dealing with these patients.

Indexed as

bundlematernal sepsisneonatal healthpregnancypuerperium

Identifiers

PMID40606063
PMCPMC12216898

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.