Department of Emergency, Aga khan University Hospital, Karachi, Pakistan.
Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2021 Feb;71(2(B)):748-751. doi: 10.47391/JPMA.1294.
This study aimed to assess knowledge, attitudes, practices, and perceived barriers of emergency healthcare providers regarding the management of sepsis and septic shock. This cross-sectional study was conducted in the Emergency Department of Aga Khan University Hospital, Karachi, Pakistan from August to October 2017. A total of 53 healthcare providers participated in the study. Overall, 42(79%) of the participants demonstrated correct knowledge of the sepsis bundle. The most common barrier reported in the compliance of the sepsis bundle was a shortage of staff (62%), followed by delayed presentation of patients (58%) and overcrowding (42%). Furthermore, better staffing was perceived by the participants (60%) to improve the care of septic patients, followed by sepsis awareness sessions (23%) and reduction in ED crowding (11%). Staff shortage, delayed presentation of patients, and ED overcrowding were considered the most common barriers in the management of sepsis in this setting.
本研究旨在评估急诊医护人员在脓毒症和感染性休克管理方面的知识、态度、实践和感知障碍。这项横断面研究于 2017 年 8 月至 10 月在巴基斯坦卡拉奇的 Aga Khan 大学医院的急诊部门进行。共有 53 名医护人员参与了这项研究。总体而言，42（79%）名参与者对脓毒症治疗包的知识表现出正确的认识。在遵守脓毒症治疗包方面，报告的最常见障碍是人员短缺（62%），其次是患者就诊延迟（58%）和过度拥挤（42%）。此外，参与者认为更好的人员配置（60%）将改善脓毒症患者的护理，其次是脓毒症意识课程（23%）和减少急诊拥挤（11%）。人员短缺、患者就诊延迟和急诊拥挤被认为是该环境中脓毒症管理的最常见障碍。
