Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Jul;9(7):OC13-6.
doi: 10.7860/JCDR/2015/12954.6220. Epub 2015 Jul 1.

The Knowledge of the Physicians about Sepsis Bundles is Suboptimal: A Multicenter Survey

Zeliha Kocak Tufan  1 , Fatma Civelek Eser  2 , Emre Vudali  3 , Ayse Batirel  4 , Bircan Kayaaslan  5 , Aliye Tanrici Bastug  6 , Deniz Eray  7 , Vedat Turhan  8 , Fazilet Duygu  9 , Duran Tok  10 , Serife Altun  11 , Cemal Bulut  12 , Mehmet A Tasyaran  13
Affiliations

The Knowledge of the Physicians about Sepsis Bundles is Suboptimal: A Multicenter Survey

Zeliha Kocak Tufan et al. J Clin Diagn Res. 2015 Jul.

Abstract

Objectives: Sepsis is a severe condition with possible high mortality outcomes. A multicentre-survey to detect the knowledge of the physicians who are involved in sepsis management in daily work was conducted.

Materials and methods: The study was held in October 2013. A questionnaire consisting of questions about sepsis bundles was prepared. Eight centers from different regions of the country were invited to join the survey. The questionnaires were introduced to physicians from infectious diseases, internal diseases, emergency (ER) and anaesthesiology departments.

Results: Two-hundred-and-twenty-three physicians from eight different centers were included. Of total 112 (50%) were male, median age was 30 years (24-59 years). Median working duration of participants was 5 years; 153 (69%) were residents, 70 (31%) were consultants. Of total 131 (59%) declared that they have enough knowledge on sepsis management. About the most important approach in sepsis, 151 (68%) voted for fluid replacement while 59 (26%) and 13 (6%) said early antibiotic use and inotropic support are the most important approaches respectively. Physicians from ER (56.5%) and anaesthesiology departments (55.4%) were more aware of the fluid replacement element of the bundle (30ml/kg, 3-hours bundle) in severe sepsis. The ID physicians, who routinely follow sepsis patients, were not aware of the fluid resuscitation (only 20% replied the element correctly) but almost all of them answered the question on early antibiotic use and blood culture sampling correctly. The knowledge of target CVP and MAP in severe sepsis were also below expectant among ID physicians. The overall knowledge of sepsis bundles of internal medicine physicians was poor. Almost all of the ER physicians knew that they have to measure lactate level upon admission but they were not aware of the threshold of the lactate level.

Conclusion: The knowledge of the sepsis bundles of the physicians, who are in charge of sepsis patients in routine work, was suboptimal. Most of the participants were unaware of SSC and new bundles. Training of the physicians of all centers about sepsis bundles is suggested according to these results.

Keywords: Improvement; Sepsis performance; Septic shock; Severe sepsis; Surviving sepsis campaign.

PubMed Disclaimer

Figures

[Table/Fig-3]:
[Table/Fig-3]:
Q-Which parameter is more important than others in sepsis management?
[Table/Fig-4]:
[Table/Fig-4]:
Q-Which antibiotics should be used in sepsis?
See this image and copyright information in PMC

References

    1. Baelani I, Jochberger S, Laimer T, et al. Availability of critical care resources to treat patients with severe sepsis or septic shock in Africa: a self-reported, continent-wide survey of anaesthesia providers. Crit Care. 2011;15(1):R10. doi: 10.1186/cc9410. Epub 2011 Jan 10. - PMC - PubMed
    1. Elixhauser A, Friedman B, Stranges E. Septicemia in U.S. Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; 2009. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb122.pdf (Accessed on February 15, 2013) - PubMed
    1. Esteban A, Frutos-Vivar F, Ferguson ND, et al. Sepsis incidence and outcome: contrasting the intensive care unit with the hospital ward. Crit Care Med. 2007;35(5):1284–89. - PubMed
    1. Slade E, Tamber PS, Vincent JL. The Surviving Sepsis Campaign: raising awareness to reduce mortality. Crit Care. 2003;7(1):1–2. Epub 2003 Jan 8. - PMC - PubMed
    1. Chen YC, Chang SC, Pu C, et al. The impact of nationwide education program on clinical practice in sepsis care and mortality of severe sepsis: a population-based study in Taiwan. PLoS One. 2013;8(10):e77414. doi: 10.1371/journal.pone.0077414. eCollection 2013. - PMC - PubMed

LinkOut - more resources