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- Title
Availability of resources to treat sepsis in Brazil: a random sample of Brazilian institutions.
- Authors
Taniguchi, Leandro Utino; de Azevedo, Luciano Cesar Pontes; Bozza, Fernando Augusto; Cavalcanti, Alexandre Biasi; Ferreira, Elaine Maria; Carrara, Fernanda Sousa Angotti; Sousa, Juliana Lubarino; Salomão, Reinaldo; Machado, Flávia Ribeiro
- Abstract
Objective: To characterize resource availability from a nationally representative random sample of intensive care units in Brazil. Methods: A structured online survey of participating units in the Sepsis PREvalence Assessment Database (SPREAD) study, a nationwide 1-day point prevalence survey to assess the burden of sepsis in Brazil, was sent to the medical director of each unit. Results: A representative sample of 277 of the 317 invited units responded to the resources survey. Most of the hospitals had fewer than 500 beds (94.6%) with a median of 14 beds in the intensive care unit. Providing care for public-insured patients was the main source of income in two-thirds of the surveyed units. Own microbiology laboratory was not available for 26.8% of the surveyed intensive care units, and 10.5% did not always have access to blood cultures. Broad spectrum antibiotics were not always available in 10.5% of surveyed units, and 21.3% could not always measure lactate within three hours. Those institutions with a high resource availability (158 units, 57%) were usually larger and preferentially served patients from the private health system compared to institutions without high resource availability. Otherwise, those without high resource availability did not always have broad-spectrum antibiotics (24.4%), vasopressors (4.2%) or crystalloids (7.6%). Conclusion: Our study indicates that a relevant number of units cannot perform basic monitoring and therapeutic interventions in septic patients. Our results highlight major opportunities for improvement to adhere to simple but effective interventions in Brazil.
- Subjects
BRAZIL; SEPTICEMIA treatment; PUBLIC health; STATISTICAL sampling
- Publication
Revista Brasileira de Terapia Intensiva, 2019, Vol 31, Issue 2, p193
- ISSN
0103-507X
- Publication type
Article
- DOI
10.5935/0103-507X.20190033