Sepsis in the limelight

Each year, sepsis, a life-threatening complication of infection that can lead to multiple organ failure, kills more Australians than breast or prostate cancer. National data show an increasing number of cases of sepsis in Australia, but recent global disease burden reports suggest that the international incidence of sepsis is significantly underestimated. I am.

However, recognizing sepsis as a time-critical emergency can prevent the worst health complications. Australian Commission on Healthcare Safety and Quality (Committee)Is participating in state and territory efforts to improve the outcome of Australians with sepsis and raise awareness of this unrecognized condition.

Emergency physicians often find themselves in an enviable position to witness how rapidly the situation of septic patients deteriorates. Non-specific symptoms can make it difficult to detect sepsis. In addition, when patients come to the emergency department, they may already be in serious illness, leaving only a narrow window of opportunity to begin life-saving treatment and reduce ongoing morbidity.

The effects of sepsis on Australians are severe, affecting many age groups and high-risk populations. A recent 2020 Global Disease Burden Survey reports an estimated 55,000 cases of sepsis each year in Australia, with approximately 8,700 deaths.

Sepsis is also a major public health concern, placing a significant financial and burden on Australia’s health care system.New report commissioned by George Global Health Institute The total annual cost of sepsis in Australia is $ 4.8 billion, and the cost of direct hospitals is estimated to account for $ 700 million annually.

Sepsis is defined as a life-threatening condition that occurs when the body’s response to an infection damages its own tissues and organs. Patients who survive sepsis experience varying degrees of disability after admission.

Ongoing health and cognitive problems can persist after an acute illness and, in more severe cases, can result in serious disability, including amputation of the limbs. Unfortunately, post-septic syndrome is not well understood or recognized by clinicians around the world. However, the protracted health complications experienced by septic survivors are very realistic and well documented.

State and territory health departments and health services organizations have likewise made commendable advances to promote improved detection, awareness, and management of sepsis. In particular, the New South Wales, Victoria, and Queensland Health Departments have established and integrated work programs in septic situations. Trigger tools and sepsis pathways help clinicians identify signs and symptoms of sepsis and manage care. But so far, there has been no national guidance on sepsis management.

National approach to sepsis

The Commission is working with the George Institute for Global Health to lead the National Sepsis Program. The program is being offered on behalf of the Australian Government Ministry of Health following Hon’s announcement of funding for 2019. Greg Hunt MP, Minister of Health and Elderly Care.

The National Sepsis Program improves the outcome of sepsis in Australians by raising awareness and awareness of sepsis, developing national guidance on best practice sepsis management, and promoting improved comprehensive care for patients with sepsis. The purpose is to do.

The National Sepsis Program consists of eight projects:

  • Epidemiological report on sepsis in a public hospital in Australia.
  • Revised Antimicrobial Stewardship Clinical Care Standards.
  • Resources to support healthcare organizations implement the National Safety and Quality Health Service (NSQHS) standard associated with sepsis.
  • A systematic review of trigger tools to help identify sepsis in the medical setting.
  • A scoping report on sepsis survival services.
  • Development of national sepsis clinical care standards.
  • A national retrospective medical record review of documents for patients with sepsis.

Consultation by an expert

As part of the National Sepsis Program, the Commission has established the National Sepsis Clinical Reference Group (NSCRG). NSCRG is a 40 clinical and technical expert in a variety of disciplines including emergency care, intensive care, nursing, general practice, infectious diseases, pharmacy and antimicrobial management, pediatrics, neonatology, Aboriginal and Torres Strait Islanders health. It has been constructed.

Survivors and bereaved families of sepsis also participate in the group. Make sure that all work reflects the patient’s perspective and experience regarding hospitalization, recovery from sepsis, and, if necessary, bereavement care. The NSCRG was first convened in November 2020 to support the delivery of the deliverables of major national sepsis programs and continues to provide the Commission with expert advice on all aspects of its work to date. ..

Sepsis clinical care criteria

A distinctive project under the National Sepsis Program is the development of national sepsis clinical care standards. The Commission has a long history of developing clinical care standards on a variety of topics. Each standard contains a number of quality statements that describe the care that medical professionals and services need to provide to patients for a particular clinical condition, in line with current best evidence.

The development of sepsis clinical care standards originated in the Sepsis Stop: National Action Plan developed by the Australian Sepsis Network in 2017 and called for nationally recognized standard treatments for the detection and treatment of sepsis. rice field.

The draft sepsis clinical care standard, which covers quality statements related to time-critical treatment, antibacterial therapy, patient and caregiver education, and post-acute care, has recently undergone a public consultation process. The draft document has received widespread support from consumers, health professionals, and state and territory health departments.

A new national standard will be published in 2022.

National awareness campaign

The Australian Sepsis Network recently reported that only 23% of Australians were aware of the signs and symptoms of sepsis. To raise awareness of sepsis among both clinicians and the general public, the Commission is conducting a national sepsis awareness campaign. The campaign will begin on September 13, 2021 (World Sepsis Day) and will continue until November 26, 2021.

The main message of the campaign is “Just ask. Is it sepsis?” This statement is a form of remorse and empowerment that encourages clinicians to think “maybe sepsis?” Sepsis is in the limelight by allowing patients and their families to speak to hospital staff.

To complement the campaign, the Commission has developed a resource toolkit containing digital and print resources suitable for a variety of subjects and high-risk patient groups. This campaign supports the broader purpose of the National Sepsis Program.

There is now significant momentum across the medical sector among clinicians, hospitals, health service organizations, policy makers, supporters and consumers to cooperate in the national fight against sepsis. The National Sepsis Program helps raise awareness, ensure rapid recognition and treatment of sepsis, and educate and support healthcare professionals to ultimately reduce the incidence and impact of this life-threatening condition. ..

* Dr Carolyn Hullick FACEM is the clinical director of the Australian Healthcare Safety and Quality Commission and is deeply involved in comprehensive care and sepsis identification and management. On the committee, she is also involved in projects focused on elderly care, care transitions, and proper use of antipsychotics. In addition, Dr. Hullick is an emergency physician in Newcastle, New South Wales, with expertise in geriatric emergency medicine.

* Chris Boyd-Skinner is a registered nurse and program manager of the Australian Healthcare Safety and Quality Commission. Chris manages all aspects of the National Sepsis Program, including consultations with the National Sepsis Clinical Reference Group, state and territory health departments, and health consumer representatives. Chris is clinically practicing as an intensive care nurse and has experience in neuro / general intensive care and aviation medical search.

Image credit: © / au / sudok1

Sepsis in the limelight

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