115: 5th WSC – Reducing Sepsis Mortality Through System Change – Lessons from Trailblazing Countries
episode
5th World Sepsis Congress: Sepsis Research and Innovations
1h 12m
3 chapters
transcribed 21 days ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the overall goal of the session on reducing sepsis mortality?
Hi again and thank you for joining us. You are now listening to session 9 of the 5th World Sepsis Congress. A powerful panel discussion titled Reducing Sepsis Mortality Through System Change. Lessons from Trail Blazing Countries. Simon Finfer is leading today's session. He is joined by experts who will share how their countries have made real progress in reducing sepsis. death. Let's get started.
My name's Simon Finfer. I'm a professor of intensive care medicine located in Sydney, Australia. And in this session, we're going to hear from people from diverse parts of the world working in different healthcare systems with different resources available to them. And hopefully, we're going to give you some idea of things that people have done that have been successful. In our shared goal of improving care of people with sepsis and reducing the morbidity and mortality from sepsis. I am not going to spend a lot of time speaking because I think we want to hear from the panel members. And then we will have a discussion. Please feel free to post any questions, comments you might have. Yeah. in the in the chat section.
We will deal with them as we go along. So our first speaker is um Daniela from Brazil. So Daniela, if you would like to introduce yourself And share your slides. Um, we'll have about three minutes, possibly a little bit more from each speaker, and then get into a discussion.
Uh good morning, good evening, uh or good night, thank you, and Simon. I am Daniela Souza, I am a pedic intensivist in São Paulo, Brazil. Нау аємди президент овлатинамерикан сепсіс інститут. It is an honor to be a guest speaker at this important event. In the next few minutes, I will present some aspects related to decreasing sepsis mortality and make ends despite social and economic disparities. We know sepsis is a global health problem and Latin America. Sepsis Institute has been working to understand the real burden of sepsis in Brazil and Latin America. We work to recognize the challenge. In Brazil, Latin American Sepsis Institute coordinated three uh studies about uh epidemiological data.
in Latin America. LAZI coordinate Spread ICU, Spread PED, and SPRAD ER. At a one-day point prevalence study in the Stratfida Pseudorondo sample of Brazilian adults' ICUs and pickles with follow-up to assess the national incidence prevalence and in hospitals. Sepsis mortality. In 2014, uh the study carried out in adult ICUs, the prevalence of sepsis was 30% and the mortality rate was 56%. In the pediatric ICUs, the spread uh carried out in 2019 showed a significant higher prevalence than in developed countries. The prevalence of sepsis In PQ in Brazil is 25%, and the mortality is 20%. At the other study carried out with a non-randomized ER sample in Brazil, the mortality rate due to sepsis was 30%. What drives our attention is that 40% of the patients
Who remain in D E R until discharge? Six percent evolved to Delph. In Brazil, preventable factors such as incomplete or unnovaccination stats and health care association infections were associated with death from sepsis. And why is sepsis-related mortality is so high in Brazil and in Latin America? Reasons for This significant burden of sepsis may include lack of data on incidence and mortality. Now, LASI is working another stud to evaluate the prevalence and mortality in pickles in Latin America. Lack of knowledge about sepsis by the lay public and by health professionals. Insufficient government funding for sepsis care programs, lack of adequate human and material resources, deficient primary health care, and overcrowded and overburdened public health care systems, high rates of antimicrobial resistance and social inequalities.
Studies show how socioeconomic disparities influence sepsis outcomes in Brazil. Despite the experts, Lazi uh studies uh highlight factors that present opportunities for improvement. Uh we believe that uh we can uh fight the uh the sepsis by prevention, education, and awareness. There are several paths.
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Chapters
3 chapters
1
What is the overall goal of the session on reducing sepsis mortality?
0:03–12:27
2
How does Brazil’s Latin American Sepsis Institute describe the burden of sepsis and its challenges?
12:27–44:07
3
What strategies did the UK use over 15 years to improve sepsis outcomes and public awareness?
44:07–1:12:46
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