COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN

Objective: To determine physician’s compliance to surviving sepsis campaign updated Hour-one bundle in critically ill patients in Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital Lahore Medical College, from...

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Autor principal:	Rehana Feroze
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	hour-one bundle sepsis/septic shock physician’s compliance surviving sepsis campaign Medicine R Medicine (General) R5-920
Acceso en línea:	https://doi.org/10.51253/pafmj.v71i1.3486 https://doaj.org/article/1838267d2e754931b95e9481b654d305
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spelling	oai:doaj.org-article:1838267d2e754931b95e9481b654d3052021-12-02T18:45:57ZCOMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTANhttps://doi.org/10.51253/pafmj.v71i1.34860030-96482411-8842https://doaj.org/article/1838267d2e754931b95e9481b654d3052021-02-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/3486https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine physician’s compliance to surviving sepsis campaign updated Hour-one bundle in critically ill patients in Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital Lahore Medical College, from Jun to Aug 2019. Methodology: This study was carried out among physicians managing critical patients in intensive care units. Participants were asked to fill out a 16-questions survey (work experience, qualification and individual components of surviving sepsis campaign hour-1 bundle. Data was collected using online access to survey and by sending hard copies. Results: Questionnaire was sent to 230 physicians while only 63 responses were received (response rate 27%). Only 45 (71%) respondents were aware of the updated Hour-1 bundle. There was no institutional protocol for compliance to sepsis bundles in thirty three (55%) responses. 52% respondents used Systemic inflammatory response syndrome (SIRS) criteria to diagnose sepsis while quick Sequential Organ Failure Assessment (qSOFA) was used by 36% respondents. Overall compliance to hour-1 bundle components was only 60%. Lactate levels was not measured by 35 (55%) respondents while 24 (38%) did not obtain blood cultures before administering antibiotics. Crystalloid and nor epinephrine was used by all respondents. Overall compliance with all the components of sepsis bundle had strong correlation with post-graduate qualification (p-value 0.001-0.049). Conclusion: Poor compliance to updated sepsis guidelines was one of the major reasons of high sepsis related mortality in Pakistan.Rehana FerozeArmy Medical College Rawalpindiarticlehour-one bundle sepsis/septic shockphysician’s compliancesurviving sepsis campaignMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 1, Pp 249-254 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hour-one bundle sepsis/septic shock physician’s compliance surviving sepsis campaign Medicine R Medicine (General) R5-920
spellingShingle	hour-one bundle sepsis/septic shock physician’s compliance surviving sepsis campaign Medicine R Medicine (General) R5-920 Rehana Feroze COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN
description	Objective: To determine physician’s compliance to surviving sepsis campaign updated Hour-one bundle in critically ill patients in Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital Lahore Medical College, from Jun to Aug 2019. Methodology: This study was carried out among physicians managing critical patients in intensive care units. Participants were asked to fill out a 16-questions survey (work experience, qualification and individual components of surviving sepsis campaign hour-1 bundle. Data was collected using online access to survey and by sending hard copies. Results: Questionnaire was sent to 230 physicians while only 63 responses were received (response rate 27%). Only 45 (71%) respondents were aware of the updated Hour-1 bundle. There was no institutional protocol for compliance to sepsis bundles in thirty three (55%) responses. 52% respondents used Systemic inflammatory response syndrome (SIRS) criteria to diagnose sepsis while quick Sequential Organ Failure Assessment (qSOFA) was used by 36% respondents. Overall compliance to hour-1 bundle components was only 60%. Lactate levels was not measured by 35 (55%) respondents while 24 (38%) did not obtain blood cultures before administering antibiotics. Crystalloid and nor epinephrine was used by all respondents. Overall compliance with all the components of sepsis bundle had strong correlation with post-graduate qualification (p-value 0.001-0.049). Conclusion: Poor compliance to updated sepsis guidelines was one of the major reasons of high sepsis related mortality in Pakistan.
format	article
author	Rehana Feroze
author_facet	Rehana Feroze
author_sort	Rehana Feroze
title	COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN
title_short	COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN
title_full	COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN
title_fullStr	COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN
title_full_unstemmed	COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN
title_sort	compliance to surviving sepsis campaign hour–1 bundle–a cross sectional study among physicians involved in critical care in pakistan
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doi.org/10.51253/pafmj.v71i1.3486 https://doaj.org/article/1838267d2e754931b95e9481b654d305
work_keys_str_mv	AT rehanaferoze compliancetosurvivingsepsiscampaignhour1bundleacrosssectionalstudyamongphysiciansinvolvedincriticalcareinpakistan
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COMPLIANCE TO SURVIVING SEPSIS CAMPAIGN HOUR–1 BUNDLE–A CROSS SECTIONAL STUDY AMONG PHYSICIANS INVOLVED IN CRITICAL CARE IN PAKISTAN

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