<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7434</journal-id>
<journal-title><![CDATA[Revista Colombiana de Obstetricia y Ginecología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Colomb Obstet Ginecol]]></abbrev-journal-title>
<issn>0034-7434</issn>
<publisher>
<publisher-name><![CDATA[Federación Colombiana de Obstetricia y GinecologíaRevista Colombiana de Obstetricia y Ginecología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74342017000300228</article-id>
<article-id pub-id-type="doi">10.18597/rcog.1043</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Population study of maternal mortality due to sepsis in Antioquia, Colombia, between 2004 and 2014: an overview of the challenge of timely identification and treatment]]></article-title>
<article-title xml:lang="es"><![CDATA[Estudio de mortalidad materna por sepsis en Antioquia, Colombia, entre los años 2004-2014: una mirada al desafío de la identificación y el tratamiento oportunos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velásquez-Penagos]]></surname>
<given-names><![CDATA[Jesús Arnulfo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vélez-Álvarez]]></surname>
<given-names><![CDATA[Gladis Adriana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Dávila]]></surname>
<given-names><![CDATA[Joaquín Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escobar-Osorio]]></surname>
<given-names><![CDATA[Sandra Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garay-Vásquez]]></surname>
<given-names><![CDATA[Heillen Karina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zuleta-Tobón]]></surname>
<given-names><![CDATA[John Jairo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>68</volume>
<numero>3</numero>
<fpage>228</fpage>
<lpage>238</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0034-74342017000300228&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0034-74342017000300228&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0034-74342017000300228&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective: To describe the characteristics of women who died as a result of sepsis and to identify the care-associated factors contributing to those deaths in the Department of Antioquia, Colombia.  Materials and methods: Case series study of maternal deaths caused by infection between the years 2004 and 2014. Maternal deaths were analysed based on the recommendations of the "Surviving Sepsis Campaign" and on clinical practice guidelines for specific infections. Judgements were made by consensus. The variables evaluated were timeliness of the diagnosis of sepsis, antibiotic treatment, septic shock, culture sampling, pregnancy termination, performance of surgery for controlling the source of the infection, admission to the intensive care unit, referral to a higher complexity level, and overall quality of management. Descriptive analysis.  Results: Out of 476 maternal deaths in 11 years, 47 (9.87%) were non-obstetrical cases of sepsis and 11 (5.2%) were obstetrical. Pneumonia was the leading cause of death. All the cases were associated with at least one consideration of poor care quality. The main factors influencing the outcome were delays in symptom identification and antibiotic initiation; inadequate treatment of septic shock; care of women at levels with low resolution capacity; and failure to modify therapeutic measures, even in the face of patient decline.  Conclusion: Maternal deaths from sepsis were mainly associated with non-obstetric causes. There are critical factors that can be modified, such as delay identifying the syndrome and timely initiation of adequate antibiotic therapy.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo: Describir las características de las mujeres e identificar los factores de la atención que contribuyeron a las muertes maternas por sepsis en el departamento de Antioquia, Colombia.  Materiales y métodos: Serie de casos de las muertes maternas causadas por infección entre los años 2004 y 2014. Se analizaron las muertes maternas con base en las recomendaciones de la "Campaña para sobrevivir a la sepsis", y en guías de práctica clínica de infecciones específicas. Los juicios se realizaron por consenso. Se evaluaron la oportunidad del diagnóstico de sepsis, el tratamiento antibiótico, el choque séptico, la toma de cultivos, la terminación del embarazo, la realización de la cirugía para control del foco infeccioso, el ingreso a unidad de cuidados intensivos, la remisión a un nivel de complejidad mayor y la calidad global del manejo. Análisis descriptivo.  Resultados: De 476 muertes maternas, 47 (9,87 %) mujeres fallecieron por sepsis de origen no obstétrico y 11 (5,2 %) por infecciones propias del embarazo o puerperio. La neumonía fue la principal causa de muerte. Los principales factores que influyeron en el desenlace fueron las demoras en identificar el síndrome, en iniciar los antibióticos, asumir el manejo en niveles con baja capacidad resolutiva, tratamiento inadecuado del choque séptico y la falta de modificación de las conductas terapéuticas ante el deterioro de las pacientes.  Conclusión: Las muertes maternas por sepsis estuvieron principalmente asociadas a causas no obstétricas; hay factores críticos tales como el retraso en la identificación del síndrome, y el inicio oportuno y adecuado de los antibióticos que son susceptibles de intervención.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Maternal mortality]]></kwd>
<kwd lng="en"><![CDATA[sepsis]]></kwd>
<kwd lng="en"><![CDATA[infection]]></kwd>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="es"><![CDATA[infección]]></kwd>
</kwd-group>
</article-meta>
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