Evaluation of health care professionals’ knowledge and practices regarding sepsis: A cross-sectional study

Abstract

Sepsis is a life-threatening condition characterized by a dysregulated host response to infection, leading to organ dysfunction. Early recognition and timely intervention are critical in reducing mortality. This study aimed to assess the knowledge levels of healthcare professionals and students regarding sepsis and highlight the importance of early diagnosis and management. A multicenter cross-sectional survey was conducted among healthcare professionals working in the emergency department of a university hospital and paramedic students undergoing internships. The questionnaire assessed participants' knowledge of sepsis criteria, early warning signs, and management strategies. Statistical analyses were performed using appropriate tests, with a significance level of p<0.05. A total of 250 participants completed the survey. While 95% recognized sepsis as a medical emergency, only 52% were familiar with the Sepsis-3 diagnostic criteria. Knowledge of Sequential Organ Failure Assessment (SOFA) and Quick Sequential Organ Failure Assessment (qSOFA) scoring systems was highest among physicians (90.6%) but significantly lower among paramedic students (3.4% and 1.7%, respectively) (p=0.000). Additionally, 58% of participants identified crystalloid therapy as necessary in hypotensive sepsis patients. The study revealed that 55% of participants had not received sepsis training in the past year, with non-physician healthcare workers showing the lowest awareness levels. This study highlights gaps in sepsis knowledge among healthcare professionals, particularly among frontline non-physician staff. Targeted educational programs incorporating theoretical understanding and practical simulations are essential for improving early recognition and management of sepsis. Enhancing sepsis awareness and adherence to guidelines can significantly reduce mortality rates.