Ahmed Faiza, Abbasi Lubna, Herekar Fivzia, Jiwani Ahsun, Patel Muhammad Junaid
Dr. Faiza Ahmed, (FCPS II Trainee Year 4, Internal Medicine), Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan.
Dr. Lubna Abbasi, FCPS (Internal Medicine/Rheumatology), Department of Internal Medicine, Indus Hospital and Health Network, Karachi, Pakistan.
Pak J Med Sci. 2022 Jan;38(2):380-386. doi: 10.12669/pjms.38.ICON-2022.5775.
To assess knowledge and perception among Pakistani physicians towards sepsis.
This cross-sectional study was conducted in Indus Hospital and Health Networks from September 2020 to March 2021. The International Sepsis Survey questionnaire was adapted, and its link was sent to trainee physicians as well as specialists, and consultants practicing in various hospitals via social media. Knowledge and perception were scored and 50% was considered the cut-off score for adequacy. Data was analyzed using SPSS version 26.
Analysis was done on 222 respondents who completed the survey. 37.9% of the participants had adequate knowledge. Knowledge regarding sepsis was significantly associated with specialty, ICU/CCU/HDU, and work experience (P-value <0.0001). More recent trainee physicians and those with more experience in critical care areas demonstrated better knowledge. Over 2/3 of the respondents strongly agreed that sepsis remains one of the unmet needs in critical care today.
A common belief exists that sepsis remains a challenge to treat among doctors. Moreover, there is consensus that it is the most frequently miss diagnosed condition in critical care and a dire need exists for its early diagnosis. Additionally, prompt management of presumed sepsis is imperative to improve outcomes.
评估巴基斯坦医生对脓毒症的认知和看法。
本横断面研究于2020年9月至2021年3月在印度河医院及健康网络开展。对国际脓毒症调查问卷进行了改编，并通过社交媒体将其链接发送给在各医院实习的住院医师以及专科医生和顾问医生。对知识和看法进行评分，50%被视为充足的临界分数。使用SPSS 26版对数据进行分析。
对完成调查的222名受访者进行了分析。37.9%的参与者具备足够的知识。关于脓毒症的知识与专业、重症监护室/冠心病监护病房/高依赖病房以及工作经验显著相关（P值<0.0001）。近期的住院医师以及在重症监护领域经验更丰富的医生表现出更好的知识水平。超过2/3的受访者强烈认为脓毒症仍是当今重症监护中未得到满足的需求之一。
医生们普遍认为脓毒症的治疗仍然是一项挑战。此外，大家一致认为它是重症监护中最常被漏诊的病症，迫切需要对其进行早期诊断。此外，对疑似脓毒症进行及时处理对于改善治疗结果至关重要。
