Sepsis: A Study of Physicianʼs Knowledge About the Surviving Sepsis Campaign.

Fernández, Ricardo; Boque, M; Galera, Angel; Rodríguez, William J.; Torres-Palacios, Alfonso; Rodríguez–Vega, Gloria M.; Rivé-Mora, E

doi:10.1097/00003246-200512002-00564

Cited by 9 publications

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“…It might be reasonable to assume that nurses may also frequently miss the diagnosis of sepsis in some patients who are deteriorating. Fernandez et al (2005) questioned 110 doctors about sepsis and found that only 44·5% correctly identified systemic inflammatory response syndrome (SIRS) criteria and fared quite poorly in questions about therapeutic interventions known to reduce mortality from sepsis.…”

Section: Introductionmentioning

confidence: 99%

An audit of ward nurses’ knowledge of sepsis

Robson

Beavis

Spittle

2007

Nursing in Critical Care

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Many of the patients with sepsis admitted to intensive care and high dependency units develop severe sepsis/septic shock in general hospital wards. If the Surviving Sepsis Campaign's aim of a 25% reduction in mortality from sepsis is to be achieved by 2009, then it is essential that registered nurses are aware of the standard definitions of sepsis, and the recommendations for its initial management. The aim of this study was to audit ward nurses' knowledge of sepsis against standard definitions and evidence-based management guidelines. An audit was carried out in one acute hospital to assess ward nurses' knowledge of sepsis. Seventy-three registered nurses from medical, surgical and orthopaedic wards completed a questionnaire about the signs and symptoms of sepsis and its initial management. The results showed that some ward nurses appeared to have a poor knowledge of the signs and symptoms of sepsis, severe sepsis/septic shock and some aspects of its initial management. Following the results of the audit, a variety of educational initiatives were introduced to raise awareness of the standard definitions and the surviving sepsis management guidelines. In conclusion, targeted education must be provided for nurses working in general wards if the Surviving Sepsis Campaign is to achieve its aim of a 25% reduction in mortality by 2009.

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Section: Introductionmentioning

confidence: 99%

An audit of ward nurses’ knowledge of sepsis

Robson

Beavis

Spittle

2007

Nursing in Critical Care

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“…Os resultados observados sugerem que o fato de os médicos residentes afirmarem ter conhecimento a respeito daquele consenso corrobora estudo anterior realizado em Porto Rico em que a mesma proporção de respondentes de uma amostra de médicos da área de medicina interna e cirurgia geral também relataram saber de sua existência 15 . Ainda que constituíssem uma amostra de profissionais que não estavam mais em formação pós-graduada, mas sim médicos atuantes em clínica e cirurgia gerais, o percentual de respostas afirmativas sobre o conhecimento foi praticamente o mesmo (90%).…”

Section: Discussionunclassified

“…Além disso, uma parcela elevada dos participantes afirmou aplicar o consenso de sepse em suas atividades práticas como médico residente do HULW. Dentre os entrevistados, a maioria atuava nas áreas de Clínica Médica e Cirurgia Geral, os quais mais frequentemente se defrontam com casos de sepse e suspeitas de SIRS em seus pacientes, diferentemente das outras subespecialidades que pouco utilizam os critérios por não os aplicar habitualmente na sua prática 15 .…”

Section: Discussionunclassified

“…Por outro lado, esses locais onde foram observados mais frequentemente os casos de sepse também se relacionam à maior complexidade dos pacientes atendidos no nível terciário de atenção à saúde. Além disso, o risco de sepse cresce significativamente com o maior número de critérios de SIRS presentes e que, no ambiente de UTI, onde há maior vigilância clínica e monitoramento constante, favorece a detecção dos sinais de alarme, o que não é feito de forma habitual nas enfermarias 15 .…”

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

et al. 2018

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O conhecimento dos critérios de consenso de sepse pelos médicos tem grande relevância por propiciar maior oportunidade de diagnóstico de um quadro grave e de alta mortalidade. O objetivo deste estudo foi avaliar o conhecimento do consenso de sepse por médicos residentes de um hospital universitário. Foram avaliados 59 médicos do Programa de Residência Médica do Hospital Universitário Lauro Wanderley, através de questionário de avaliação com base no consenso de sepse. A média de idade dos residentes foi de 28 anos, 61,2% do sexo feminino. A grande maioria dos residentes do HULW refere ter conhecimento acerca do Consenso de Sepse, adquirido sobretudo na graduação, e que o colocam em prática em suas atividades cotidianas, em um processo de aperfeiçoamento profissional que constitui objetivo principal da residência médica. Contudo, a avaliação do conhecimento sobre sepse revela que os percentuais de respostas corretas em parâmetros clínicos e laboratoriais foram insatisfatórios, observando-se mais respostas incorretas em relação aos parâmetros clínicos, assim como aquelas referentes ao conceito de choque séptico. Conclui-se que, embora quase todos os residentes entrevistados tenham referido conhecer o consenso sobre sepse, os percentuais de acertos foram insatisfatórios, sobretudo em relação ao choque séptico.

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“…Earlier studies have shown that most physicians’ knowledge concerning the SSC guideline is lower than expected. [ 17 18 19 20 ] A multicenter, case scenario-based online survey found that only 0.1% of physicians complied with all SSC resuscitation bundles. [ 17 ] Tufan et al .…”

Section: Introductionmentioning

confidence: 99%

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

Suntornlohanakul

Khwannimit

2017

Indian Journal of Critical Care Medicine

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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.

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Sepsis: A Study of Physicianʼs Knowledge About the Surviving Sepsis Campaign.

Cited by 9 publications

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An audit of ward nurses’ knowledge of sepsis

An audit of ward nurses’ knowledge of sepsis

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

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

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