KHẢO SÁT KIẾN THỨC CHUNG CỦA BÁC SĨ TRONG ĐIỀU TRỊ SỐC NHIỄM KHUẨN Ở TRẺ EM HIỆN NAY

Abstract

Introduction: sepsis and septic shock remain leading causes of death in children worldwide, including Vietnam. The study aimed to survey the application of guidelines in the practice of sepsis treatment by physicians in Vietnam. Method: This was a descriptive cross-sectional survey conducted among physicians regarding the diagnosis and management of pediatric sepsis, following the guidelines of the Surviving Sepsis Campaign (SSC) 2020. Data were collected using a pre-designed questionnaire. Results: From May 2024 to June 2024, the study collected responses from 219 physicians. The male-to-female ratio was 1:1. Among the participants, 24.6% of physicians screened for septic shock within 5 minutes of patient presentation, and 86.3% used bolus fluid resuscitation (20 mL/kg). Additionally, 65.3% chose Adrenaline as the first-line vasopressor in septic shock. 96.8% of physicians administered antibiotics within 60 minutes of sepsis diagnosis, with Carbapenem being the most frequently used antibiotic (54.3%), often combined with Vancomycin (21.5%) or Aminoglycosides (21.5%). In addition, 26.0% had not attended training on the diagnosis and treatment of septic shock. Specifically, attending training sessions was significantly associated with the choice of vasopressor therapy in septic shock, with an odds ratio (OR) of 2.13 (95% CI: 1.08 - 4.18, p = 0.028). Conclusions: The study provides an overview of the implementation of guidelines in the practice of treating sepsis in children. These findings will be useful in increasing participation in annual sepsis training courses in hospitals.