Sepsis Awareness - An Irish Survey: Conference Abstract

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Young, Y et al 2017 Sepsis Awareness - An Irish Survey.

International Journal of Integrated Care , 17(5): A198,


pp. 1-8, DOI: dx.doi.org/10.5334/ijic.3506

CONFERENCE ABSTRACT

Sepsis Awareness - An Irish Survey


17th International Conference on Integrated Care, Dublin, 08-10 May 2017

Yvonne Margaret Young, Vida Hamilton, Mary Bedding, Sinead Horgan, Christina
Doyle, Karn Cliffe, Celine Conroy, Ronan O'Cathasaigh

HSE, Ireland

Introduction: Sepsis is a time dependent medical emergency that remains the leading cause
of death from infection worldwide. Early recognition and prompt treatment is fundamental
to increased survival rates and optimal outcome for survivors of severe sepsis and septic
shock.

The majority of sepsis is community acquired and approximately 70-80% of patients with
sepsis present to the Emergency Department (CDC 2016). Lack of knowledge and awareness
can result in late patient presentations and delayed treatment by healthcare professionals.

Increased awareness and education are imperative to facilitate early recognition and prompt
treatment of sepsis. This has contributed to a significant reduction in mortality rate in the
last 50 years with acute myocardial infarction and is a driving force that motivates the
essential need for sepsis awareness if a reduction in mortality is to be achieved.

Theory/Method: The survey was designed to gain insight into general public and healthcare
workers perceptions, knowledge and attitudes regarding sepsis.

A Prospective, quantitative survey was performed using a structured predetermined


questionnaire.

Sample: A total of 1589 participants comprised of the general public (n=561) and healthcare
workers (n=1028) from all 6 hospital groups in the Republic of Ireland. Healthcare workers
included Consultants, Non Consultant Hospital Doctors, nurses/midwives, care/support
staff, allied health professionals, clerical/administration staff, portering staff,
medical/nursing students and others.

Results/Discussions: 57% of the general population had heard of the term sepsis. The
majority were aware of sepsis through social/conventional media (42%) or personal
experience (23%). On further exploration 70% of the general public associated sepsis with a
“bad infection” and/or “blood poisoning”. However, heart attack was considered by the
general public to have the highest mortality rate.
2 Young; Sepsis Awareness - An Irish Survey

94% of healthcare workers surveyed had heard of sepsis, with 71% having received college
and/or hospital based sepsis education. The ‘Sepsis 2’ definition which describes sepsis as a
“dysregulated immune response to infection i.e. infection and Systemic Inflammatory
Response (SIRS)” was the most popular description of sepsis by all grades of doctors and
nurses/midwives. However, 25% - 30% of all doctors and 29% of nurses/ midwives did not
think you needed infection to develop sepsis. This was a significant finding as it is important
to distinguish between awareness and actuaually being able to recognise and diagnose sepsis
correctly.

Conclusions: There is moderate general public awareness about the term sepsis but this is
not coupled with an understanding of the true impact and potential mortality associated
with sepsis. There is evidence of good sepsis awareness in healthcare workers probably
largely due to hospital and/or college education. Results of this survey reflect the challenges
for early recognition and treatment of sepsis not only in the general public but amongst
healthcare professionals.

Lessons learned: This body of work was essential as it allowed quantification of the
awareness, attitudes and perceptions of sepsis. It will help guide the National Programme
plan education and awareness requirements for successful implementation of the National
Clinical Guidelines. A sepsis E-learning programme was launched on HSELand in September
2016 to ensure easy accessibilty to sepsis education for healthcare workers.

Limitations: The majority of participants were accessed in a hospital setting. Some of the
questions had too many variables in the answer which made measurement difficult.

Suggestions for future research: A repeat National Survey with a larger general public
sample to evaluate if there has been an increase in sepsis awareness and assess any change in
attitudes and perceptions of sepsis.

Keywords: sepsis; awareness; national survey

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