A comparison of residents\' knowledge regarding the surviving sepsis campaign 2012 guideline

Abstract

Background:Recently, Surviving Sepsis Campaign (SSC) guideline was updated. Our objective was to evaluate the knowledge of residents in different departments regarding the SSC 2012.Methods:A cross-sectional, descriptive self-questionnaire was distributed to interns and residents in the Departments of Internal Medicine, Surgery, and Emergency Medicine.Results:The response rate was 136 (89%) from 153 residents. The residents included 46 (33%) interns, 42 (31%) internal medicine residents, 41 (30%) surgical residents, and 7 (5%) emergency residents. Regarding the definitions of severe sepsis and septic shock, only 44 (32.4%) residents were able to differentiate the severity of sepsis. The surgical residents had a significantly lower rate of correct answers than that of internal medicine residents (12.2% vs. 45.2, P = 0.001), emergency residents (12.2% vs. 57.1%, P = 0.005), and interns (12.2% vs. 34.8%, P = 0.014). Only 77 (51.5%) residents would measure blood lactate in patients with sepsis. In respect to the dose of fluid resuscitation, only 72 (52.9%) residents gave the recommended fluid (30 ml/kg) within the first 3 h. Surgical residents had a significantly lesser percentage of correct answers than that of internal medicine residents (29.3% vs. 69%, P < 0.0001) and interns (29.3% vs. 60.8%, P = 0.003). About 123 (90.4%) and 115 (84.6%) residents knew the appropriate targets for mean arterial pressure and vasopressors, respectively. Most residents could give antimicrobial drugs (73.5%) and steroids (93.4%) appropriately in the treatment of patients with septic shock. However, only half of the residents knew the target range of blood sugar control in patients with sepsis.Conclusions:Our residents’ knowledge about the SSC 2012 is not satisfactory. Further instruction concerning sepsis management is required.

Prompt Identification of Sepsis on Hospital Floors: Are Healthcare Professionals Ready for the Implementation of the Hour-1 Bundle?

“…The study of Suntornlohanakul et al revealed that 55.9%, 66.9%, and 94.1% of respondents were able to respond to inquiries about the definitions of severe sepsis, sepsis with severe hypoperfusion, and septic shock, respectively. However, only 32.4% could distinguish between different levels of sepsis severity [ 15 ]. According to a Nepalese study, almost 46% of participants who had experience working in ICUs had sufficient understanding about sepsis [ 16 ].…”

Conhecimento Do Consenso De Sepse Por Médicos Residentes De Um Hospital Universitário

“…Resultados semelhantes ao dessa investigação científica foram encontrados em estudo indiano 16 , que avaliou o conhecimento de 136 médicos residentes de clínicas médica e cirúrgica de um hospital na Índia sobre o consenso de sepse, demonstrando-se que em relação às definições de sepse grave e choque séptico, apenas 32,4% dos residentes conseguiram acertar os conceitos operacionais da síndrome. Também de forma semelhante aos resultados do presente estudo, os referidos autores verificaram que os residentes de cirurgia tiveram uma taxa menor de respostas corretas do que os residentes de clínica médica.…”