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Title: Survey on physicians' knowledge of sepsis: Do they recognize it promptly?
Authors: Assuncao, Murillo [UNIFESP]
Akamine, Nelson
Cardoso, Guttemberg S. [UNIFESP]
Mello, Patricia V. C.
Teles, Jose Mario M.
Nunes, Andre Luis B.
Maia, Marcelo Oliveira
Rea-Neto, Alvaro
Machado, Flavia Ribeiro [UNIFESP]
SEPSES Study Grp
Universidade Federal de São Paulo (UNIFESP)
Univ Estadual Piaui
Hosp Portugues
Hosp Sao Camilo São Paulo
Hosp Santa Luzia
Univ Fed Parana
Keywords: Sepsis
Severe sepsis
Septic shock
Professional practice
Education and diagnoses
Issue Date: 1-Dec-2010
Publisher: Elsevier B.V.
Citation: Journal of Critical Care. Philadelphia: W B Saunders Co-Elsevier Inc, v. 25, n. 4, p. 545-552, 2010.
Abstract: Purpose in Brazil, sepsis has a high mortality, and early recognition is essential in outcome the aim of the study was to evaluate physicians knowledge about systemic Inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock conceptsMethods This was a prospective, observational study performed in 21 hospitals in Brazil, which enrolled physicians working in the participant institutions A previously validated questionnaire was applied to physicians including 5 clinical casesResults Twenty-one Brazilian institutions enrolled 917 physicians the percentage of physicians correctly recognizing SIRS infection sepsis severe sepsis, and septic shock was 78 2% 92 6%, 27 3%, 56 7%, and 81 0%, respectively Intenswists performed better in all diagnoses There was a significantly higher rate of correct answers for SIRS (P < 001), sepsis (P = 001) and severe sepsis (P = 032) among physicians from university hospitals as compared with those from public hospitals A mean global score of 3 36 1 08 was found, with better performance for residents (P = 012) and intensivists (P < 001) but no difference was found for emergency physicians (P = 875)Conclusion the prompt recognition of sepsis and its severity is not satisfactory This difference is probably due to the difficulty in the recognition of organ dysfunction, which hampers early identification of septic patients Crown Copyright (C) 2010 Published by Elsevier Inc All rights reserved
ISSN: 0883-9441
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