In:
PLOS ONE, Public Library of Science (PLoS), Vol. 18, No. 6 ( 2023-6-28), p. e0285151-
Abstract:
Sepsis is a leading cause of morbidity and mortality. Prompt recognition and management are critical to improve outcomes. Methods We conducted a survey among nurses and physicians of all adult departments of the Lausanne University Hospital (LUH) and paramedics transporting patients to our hospital. Measured outcomes included professionals’ demographics (age, profession, seniority, unit of activity), quantification of prior sepsis education, self-evaluation, and knowledge of sepsis epidemiology, definition, recognition, and management. Correlation between surveyed personnel and sepsis perceptions and knowledge were assessed with univariable and multivariable logistic regression models. Results Between January and October 2020, we contacted 1’216 of the 4’417 professionals (27.5%) of the LUH, of whom 1’116 (91.8%) completed the survey, including 619 of 2’463 (25.1%) nurses, 348 of 1’664 (20.9%) physicians and 149 of 290 (51.4%) paramedics. While 98.5% of the participants were familiar with the word “sepsis” (97.4% of nurses, 100% of physicians and 99.3% of paramedics), only 13% of them (physicians: 28.4%, nurses: 5.9%, paramedics: 6.8%) correctly identified the Sepsis-3 consensus definition. Similarly, only 48% and 49.3% of the physicians and 10.1% an 11.9% of the nurses knew that SOFA was a sepsis defining score and that the qSOFA score was a predictor of increased mortality, respectively. Furthermore, 15.8% of the physicians and 1.0% of the nurses knew the three components of the qSOFA score. For patients with suspected sepsis, 96.1%, 91.6% and 75.8% of physicians respectively chose blood cultures, broad-spectrum antibiotics and fluid resuscitation as therapeutic interventions to be initiated within 1 (76.4%) to 3 (18.2%) hours. For nurses and physicians, recent training correlated with knowledge of SOFA score (ORs [95%CI]: 3.956 [2.018–7.752] and 2.617 [1.527–4.485]) and qSOFA (ORs [95%CI] : 5.804 [2.653–9.742] and 2.291 [1.342–3.910] ) scores purposes. Furthermore, recent training also correlated with adequate sepsis definition (ORs [95%CI]: 1.839 [1.026–3.295] ) and the components of qSOFA (ORs [95%CI]: 2.388 [1.110–5.136] ) in physicians. Conclusions This sepsis survey conducted among physicians, nurses and paramedics of a tertiary Swiss medical center identified a deficit of sepsis awareness and knowledge reflecting a lack of sepsis-specific continuing education requiring immediate corrective measures.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0285151
DOI:
10.1371/journal.pone.0285151.g001
DOI:
10.1371/journal.pone.0285151.g002
DOI:
10.1371/journal.pone.0285151.g003
DOI:
10.1371/journal.pone.0285151.g004
DOI:
10.1371/journal.pone.0285151.g005
DOI:
10.1371/journal.pone.0285151.g006
DOI:
10.1371/journal.pone.0285151.t001
DOI:
10.1371/journal.pone.0285151.t002
DOI:
10.1371/journal.pone.0285151.s001
DOI:
10.1371/journal.pone.0285151.s002
DOI:
10.1371/journal.pone.0285151.s003
DOI:
10.1371/journal.pone.0285151.s004
DOI:
10.1371/journal.pone.0285151.s005
DOI:
10.1371/journal.pone.0285151.s006
DOI:
10.1371/journal.pone.0285151.s007
DOI:
10.1371/journal.pone.0285151.s008
DOI:
10.1371/journal.pone.0285151.s009
DOI:
10.1371/journal.pone.0285151.s010
DOI:
10.1371/journal.pone.0285151.s011
DOI:
10.1371/journal.pone.0285151.s012
DOI:
10.1371/journal.pone.0285151.s013
DOI:
10.1371/journal.pone.0285151.r001
DOI:
10.1371/journal.pone.0285151.r002
DOI:
10.1371/journal.pone.0285151.r003
DOI:
10.1371/journal.pone.0285151.r004
DOI:
10.1371/journal.pone.0285151.r005
DOI:
10.1371/journal.pone.0285151.r006
DOI:
10.1371/journal.pone.0285151.r007
DOI:
10.1371/journal.pone.0285151.r008
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2023
detail.hit.zdb_id:
2267670-3
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