113: 5th WSC – Bridging Sepsis Knowledge Gaps in HICs and LMICs
episode
5th World Sepsis Congress: Sepsis Research and Innovations
1h 27m
2 chapters
transcribed 18 days ago
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What is the purpose of this session and who is moderating it?
Hi everyone and welcome back. This is session seven of the Fifth World Sepsis Conference. Together with six leading experts, Abdulila al-Hasawi from the Eastern Mediterranean Sepsis Alliance will explore how to bridge sepsis knowledge gaps in various settings. Abdulila, take it away.
Hello everyone. My name is Abdelal al-Hausawi. I'll be moderating this session from the World Sepsis Congress. I wanna say good morning, good afternoon, and good evening to all the audience uh throughout the world. The session that uh we're about to hear is called Bridging Sepsis Knowledge Gaps in High Income Countries and Low Middle Income Countries. Uh first of all, I would like to thank our sponsors for actually helping us uh realize this session. And with that in place, I am going to actually introduce our first speaker. Dr. Andrew Argent. So Andrew has worked in critical care in Cape Town for over 30 years and directed Africa's largest pediatric intensive care unit until 2019. He's the chair of the African Sepsis Alliance and past president of the World Federation of Pediatric Intensive and Critical Care Societies.
Although retired, he remains involved in the development of clinical approaches to the recognition and management of sepsis in children. He has particular interest in the provision of care to critically ill children in countries across the world and has been involved. Involved in the development and implementation of training programs for healthcare workers in pediatric critical care. Andrew continues to be involved in consultations regarding multiple aspects of care. Of the critically ill children. So Dr. Argent, uh the floor is yours. Uh at the end of the speech of Dr. Argent, uh we will have uh some time for for QA. So go ahead, Dr. Argent.
Well, thank you very much. And it's a great honor to be invited to speak at this meeting. So huge thanks to the organizers. I've been asked to address the issue of improving outcomes from pediatric sepsis, and clearly this audience knows that sepsis is a huge cause of both mortality and morbidity. And that's across the world, but the brunt of that burden is borne by the poorer and lower resource settings of the world. And I want to highlight a little bit of those settings. A huge emphasis of what we do needs to be on the prevention of sepsis. But then we also need to deal with the acute illness. And then for me, a huge obsession is this idea that if we take children out of environments that have made them sick and set them up to have sepsis, we do all sorts of wonderful therapeutic things and then send them straight.
Yeah. that got them sick in the first place. We're just gonna maintain that cycle and throw away a lot of the work that has been done. And so I think there's a real need to focus on Where are the high-risk situations, where are the situations where we can actually change things? Now, of course, as I've highlighted, sepsis across the world has a huge range. They're different populations in terms of age distributions, backgrounds of things like nutrition, exposure to HIV, and factors like that. And Then, also, as we move across the world, the pathogens change. There are parts of the world where things like dengue, malaria are huge causes of septus. There are other parts, such as where I live, where those aren't an issue.
And then, of course, the epidemiology changes from season to season, which vectors are available, and also what the population is there. We need to think of sepsis not just as a one-off episode, but as something that happens over a period of time. And it's my belief that very few patients present from complete health going to sepsis very acutely. For most of them, there is a prodrome. There's a period of days, often weeks, sometimes months, that precedes the acute illness. And then finally, Finally, there are huge differences in resources that are available. And we need to be sure that if we're going to treat children with sepsis, the right resources are available at the right time. This data comes from work published by Scott Watson and others.
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Chapters
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