(230) Screening for sepsis with the CMQCC algorithm in cases of Triple I

Of 100 patients with Triple I, 68 screened positive for sepsis while 32 screened negative, using the CMQCC sepsis screen. There was no difference in maternal age, gestational age at delivery, mode of delivery, and length of stay between the two groups. Of those that screened positive, 47(69%) met two of four criteria while 21(31%) met three of four criteria. None met all four criteria. Specifically, 66(97%) had fever, 50(74%) had tachycardia, and 40(59%) had leukocytosis. Only two(3%) had tachypnea. The maximum temperature in labor did not differ between the two groups. 


Conclusion: Our study suggests that most pregnant individuals with Triple I in labor screen positive using the initial step of the CMQCC sepsis screen. The correlation between a positive sepsis screen with maternal and neonatal outcomes will be the subject of further investigation.