118: 5th WSC – Pediatric Sepsis: The LMICs Cannot Wait for Improved Outcomes Any Longer
episode
5th World Sepsis Congress: Sepsis Research and Innovations
1h 20m
8 chapters
transcribed 18 days ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the overall focus of Session 12 on pediatric sepsis in LMICs?
Hi there and welcome to session 12 of the Fifth World Sepsis Congress. This session is titled Pediatric Sepsis: The LMICs Cannot Wait for Improved Outcomes Any Longer. Today's speakers address the urgent need to improve care for children in low and middle-income countries. This vital discussion is moderated by Fuzia Shafiq. It's your stage.
Welcome everyone to the twelfth session of the two day long World Sepsis Congress. Um good morning, good afternoon, good evening to the our speakers. I see they're online with us already, to our colleagues and friends who have joined us from across the world. We hope you're well, we hope you're safe wherever you are. Um colleagues, my name is Fozia Shafiq. I am the Global Associate Director for Health with U UNICEF, based in New York, and I have the pleasure of being your moderator for this twelfth session. Um, for those of you who've had time to do some reading, we are talking today about pediatric sepsis and the fact that the LMICs cannot wait for improved outcomes anymore. We have 12 amazing speakers with us who will be talking about these this topic, this very important topic.
From very different perspectives. And with that, I have the pleasure of introducing to you our very first speaker, Niranjan Tex Kisun. He is the current president of the Global Sepsis Alliance. And is also the past president of the World Federation of Pediatric Critical and Intensive Care Societies, um, with several prestigious awards from AAP, ACCM, from India, 500 peer-reviewed publications, 80 book chapters. And a very instrumental role that he played in the World Health Assembly's 2017 resolution on sepsis. In Tex, we have not just an illustrious career, but also a professional who's dedicated to improving the lives of children. And that is such a noble work. Tex is talking to us today about how to use the Phoenix sepsis criteria in the LMICs.
Yeah. You
Thank you, Faucia. It's really a pleasure to be here. And colleagues from across the world, I bring you greetings again from Vancouver. As you heard, I'm going to be speak over the Phoenix criteria and score and how useful it is in resource poor settings. And the reason I've chosen this topic is because of the fact that there have been a lot of confusion of what the Phoenix uh score is useful for, what it really does, and how we can use it. There has been a lot of crosstalk across the world and I thought this would be very useful. And when we speak about LMICS, I think uh LMICS is really a very sort of um diffuse term and it does not really uh describe what we are really meaning. So if we look at global under five deaths as a proxy for sepsis, we can see um from world map the uh area of the landmass um
is um uh sort of representative representative of the number of ch under five child deaths, we can see much of the deaths are concentrated in Africa, mostly sub-Saharan Africa and in Asia. And if we look at the resources available in these areas, the resources in those areas are sort of very um Scans, so to speak, as compared to high income countries. However, even within these areas, pockets of where you can get contemporary care as anywhere else in the world. So I think in terms of instead of low and middle income countries as a whole, I think of resource poor areas across the globe. So I'll be referred to most times as resource poor areas. And what I mean by that is um sort of health systems in which we are unable to provide the um contemporary care because of lack of resources, be it personnel, drugs, etcetera.
So, the importance of the Phoenix criterion score. For those who do not uh know what the score is about, the most important thing uh for us to realize is that uh childhood sepsis is a very common problem. And in fact, the global woodnot disease report in 2020 showed that there were almost 35 million cases. of children sepsis and almost three million deaths. So it's a very high sort of proportion of world deaths. In fact, almost 50% of cases of sepsis are in children. Well, the problem we've had is really determining uh what is sepsis.
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Chapters
8 chapters
1
What is the overall focus of Session 12 on pediatric sepsis in LMICs?
0:02–16:48
2
How does the Phoenix sepsis criteria differ from traditional SIRS/CIS definitions?
16:48–34:11
3
What are the components and scoring system of the Phoenix criteria?
34:11–46:48
4
Why is the Phoenix score challenging to apply in low‑resource settings?
46:48–1:05:34
5
Can the Phoenix criteria be used for newborns and pre‑term infants?
1:05:34–1:11:38
6
How can digital tools and apps make the Phoenix score usable at the bedside?
1:11:38–1:17:03
7
What role does artificial intelligence play in improving pediatric sepsis care in LMICs?
1:17:03–1:19:20
8
What are the key take‑aways and next steps for implementing sepsis guidelines in resource‑limited settings?
1:19:20–1:20:14
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