Knowledge of health workers relating to sepsis awareness and management in Lambaréné, Gabon

Adegbite, Bayode R, Edoa, Jean Ronald, Rylance, Jamie ORCID: https://orcid.org/0000-0002-2323-3611, Jacob, Shevin ORCID: https://orcid.org/0000-0003-2425-9394, Kawale, Paul, Adegnika, Ayola A and Grobusch, Martin P. (2021) 'Knowledge of health workers relating to sepsis awareness and management in Lambaréné, Gabon'. Acta Tropica, Vol 219, p. 105914.

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Abstract

Background In 2016, the third international consensus definitions for sepsis and septic shock (Sepsis-3) task force provided revised definitions for sepsis and septic shock. This study explores knowledge regarding sepsis among health workers in Lambaréné, Gabon.

Methods
We conducted a self-administered questionnaire-based survey about sepsis among health workers from the referral regional hospital, the research center, and primary care health facilities in the Lambaréné region. Participants were from the referral regional hospital, the research center, and primary health care facilities. A score of one was given to each correct answer. The global score out of a possible score of twenty was calculated, and the proportion of correct responses was determined.

Results
A total of 115 health workers (physicians, nurses and assistant nurses) completed the questionnaire, of which 48.7% (56/115) provided a valid definition of sepsis, but 74% (85/115) had never heard about the quick Sequential Organ Failure Assessment (qSOFA) score. The proportion of correct answers was comparable across the three health profession categories. The median global score across all health workers was 11 [IQR, 9-14.5] out of 20. Physicians attained higher global scores [14 (IQR, 11-15)] than assistant nurses [11 (IQR, 8-13), P=0.007]; their global score was comparable to that of nurses.

Conclusion
There are considerable knowledge gaps regarding sepsis among health workers in Lambaréné, potentially impairing the prompt recognition and management of sepsis. There is a need to establish periodic up-to-date training to improve sepsis knowledge.

Item Type:	Article
Subjects:	WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WA Public Health > Health Administration and Organization > WA 525 General works WB Practice of Medicine > Diagnosis > General Diagnosis > WB 143 Signs and symptoms WC Communicable Diseases > Infection. Bacterial Infections > Bacterial Infections > WC 240 Bacteremia. Sepsis. Toxemias
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1016/j.actatropica.2021.105914
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	13 Apr 2021 10:33
Last Modified:	26 Nov 2024 08:45
URI:	https://archive.lstmed.ac.uk/id/eprint/17577

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