Sepsis: a strategy of training in Primary Health Care and hospital emergencies. Indicators of quality in the care of patients

Authors

  • Irene Pastrana Román Especialista de Primer y Segundo Grado en Medicina Interna. Especialista de Segundo Grado en Medicina Intensiva y Emergencias. Profesor Auxiliar y Consultante. Máster en Urgencias Médicas en Atención Primaria de Salud. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Ariel Iván Corrales Varela Especialista de Primer Grado en Medicina Interna. Especialista de Primer Grado en Medicina Intensiva y Emergencias. Máster en Urgencias Médicas en Atención Primaria de Salud. Departamento provincial de Urgencias y Trasplante, Ministerio de Salud Pública. Pinar del Río.
  • William Quintero Pérez Médico Especialista de Primer Grado en Inmunología. Máster en Urgencias Médicas, en Educación Medica Superior y Enfermedades Infecciosas en Atención Primaria de Salud. Asistente. Universidad de Ciencias Médicas. Pinar del Río.
  • Mariela Rodríguez Rodríguez Licencia en enfermería. Instructor. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Sarah Álvarez Reinoso Especialista de Segundo Grado en Pediatría. Máster en Urgencias Médicas en APS. Profesor Auxiliar y Consultante. Hospital Provincial Pediátrico "Pepe Portilla". Pinar del Río.

Keywords:

Sepsis, Health care quality indicators, Intensive care.

Abstract

Introduction: Sepsis is an extremely frequent and severe entity. In Cuba, pediatric morbidity is significant, where community-acquired sepsis prevail, followed by nosocomial and neonatal sepsis; increasing hospital costs, stay and mortality. In adults: the third part dies as a cause of sepsis.
Objective: to improve competence and performance of medical doctors working at municipal Intensive Care Units, Pinar del Rio in 2011.
Method: analytical, with both retrospective plus prospective components, cohort and longitudinal study. The training course was designed together with the evaluative tests. An educational intervention about: diagnosis, physiopathology and management of severe sepsis. The assessment of knowledge of the medical doctors in the intensive care areas before and after the implementation of the educational intervention, as well as the modification of quality indicators (medical care of patients with sepsis), after the training course.
Results: medical doctors; 44,5% had more than 5 years experience of specialist, 16,7% had received training courses about sepsis management. Initial examination: 33,3% fair and 38,9 bad. Final examination: 50% good and 33,3% excellent. Improvements on the appropriated use of antibiotics and early beginning of antibiotic therapy were observed.
Conclusion: Doctors having not much experience in emergency care areas who had not received postgraduate studies in sepsis management (>50%), an increase of knowledge about sepsis management after the training course was observed. The efficacy of the educational intervention to improve the conditions of patients suffering from severe sepsis in provincial emergency services increased the indicators of quality in the medical management of sepsis in municipal intensive care units.

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Published

2012-07-02

How to Cite

1.
Pastrana Román I, Corrales Varela AI, Quintero Pérez W, Rodríguez Rodríguez M, Álvarez Reinoso S. Sepsis: a strategy of training in Primary Health Care and hospital emergencies. Indicators of quality in the care of patients. Rev Ciencias Médicas [Internet]. 2012 Jul. 2 [cited 2025 Aug. 29];16(3):120-38. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/935

Issue

Vol. 16 No. 3 (2012)

Section

ORIGINAL ARTICLES

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