Identifying resource needs for sepsis care and guideline implementation in the democratic republic of the Congo: A cluster survey of 66 hospitals in four eastern provinces

Middle East Journal of Anesthesiology

Volumn 21, Issue 4, 2012, Pages 559-576

  Baelani, Inipavudu ^a   Jochberger, Stefan ^b   Laimer, Thomas ^c   Rex, Christopher ^d   Baker, Tim ^e   Wilson, Iain H ^f   Grander, Wilhelm ^c   Dünser, Martin W ^g  

^a DOCS Hospital   (Congo)

^b INNSBRUCK MEDICAL UNIVERSITY   (Austria)

^c MEDICAL UNIVERSITY OF VIENNA   (Austria)

^d University Reutlingen   (Germany)

^e KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^f ROYAL DEVON AND EXETER NHS FOUNDATION TRUST   (United Kingdom)

^g PARACELSUS MEDICAL UNIVERSITY   (Austria)

Author keywords

Africa; Democratic republic of the congo; Resources; Sepsis; Surviving sepsis campaign guidelines

Indexed keywords

ARTICLE; CLUSTER ANALYSIS; DEMOCRATIC REPUBLIC CONGO; HEALTH CARE PLANNING; HEALTH SERVICE; HOSPITAL; HUMAN; PRACTICE GUIDELINE; QUESTIONNAIRE; SEPSIS; STANDARD; STATISTICS;

CLUSTER ANALYSIS; DEMOCRATIC REPUBLIC OF THE CONGO; HEALTH RESOURCES; HOSPITALS; HUMANS; PRACTICE GUIDELINES AS TOPIC; QUESTIONNAIRES; SEPSIS; URBAN HEALTH SERVICES;

EID: 84864282811     PISSN: 05440440     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (32)

1. Cheng AC, West TE, Limmathurotsakul D, Peacock SJ: Strategies to reduce mortality from bacterial sepsis in adults in develoing countries. PLOS Med; 2008, 5:1173-1179.
2. Becker JU, Theodosis C, Jacob ST, Wira CR, Groce NA: Surviving sepsis in low-income and middle-income countries: new directions for care and research. Lancet Infect Diseases; 2009, 9:577-582.
3. World Health Organization: Global Burden of Disease Report - Update 2004. http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_part2.pdf (accessed 25/05/2010).
4. Hotchkiss RS, Karl IE: The pathophysiology of sepsis. N Engl J Med; 2003, 348:138-150.
5. Cheng AC, West TE, Peacock SJ: Surviving sepsis in developing countries. Crit Care Med; 2008, 36:2487.
6. Frikha N, Mebazaa M, Mnif L, EL Euch N, Abassi M, Ben Ammar MS: Septic shock in a Tunisian intensive care unit: mortality and predictive factors. 100 cases. Tunis Med; 2005, 83:320-325.
7. Siddqui S: Not "surviving sepsis" in the developing countries. J Indian Med Assoc; 2007, 105:221.
8. Tanriover MD, Guven GS, Sen D, Unal S, Uzun O: Epidemiology and outcome of sepsis in a tertiary-care hospital in a developing country. Epidemiol Infect; 2006, 134:315-322.
9. Cheng AC, Limmathuotsakul D, Chierakul W, Getchalarat N, Wuthiekanun V, Stephens DP, et al: A randomized controlled trial of granulocyte colony-stimulating factor for the treatment of severe sepsis due to melioidosis in Thailand. Clin Infect Diseases; 2007, 45:308-314.
10. Jacob ST, Moore CC, Banura P, Pinkerton R, Meya D, Opendi P, et al: Severe sepsis in two Ugandan hospitals: a prospective observational study of management and outcomes in a predominantly HIV-1 infected population. PLoS One; 2009, 4:e7782.
11. Kalayi GD: Mortality from burns in Zaria: an experience in a developing economy. East Afr Med J; 2006, 83:461-464.
12. Centers For Disease Control And Prevention: Elevated mortality associated with armed conflict - Democratic Republic of the Congo, 2002. MMWR Morb Mortal Wkly Rep; 2003, 52:469-471.
13. Coghlan B, Ngoy P, Mulumba F, Hardy C, Nkamgang Bemo V, Stewart T, et al: Mortality in the Democratic Republic of Congo - An ongoing Crisis. 2007; http://www.theirc.org/sites/default/files/resource-file/2006-7_congoMortalitySurvey.pdf (accessed 25/05/2010).
14. Coghlan B, Rennan RJ, Ngoy P, Dofara D, Otto B, Clements M, et al: Mortality in the Democratic Republic of Congo: a nationwide survey. Lancet; 2006, 367:44-51.
15. Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, et al: Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med. 36: 296-327, 2008. Available at http://www.survivingsepsis.org/GUIDELINES (accessed 07/05/2010).
16. Ferrer R, Artigas A, Levy MM, Blanco J, Gonzalez-Diaz G, Garnacho-Montero J, et al: Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain. JAMA; 2008, 299:2294-2303.
17. Nguyen HB, Corbett SW, Steele R, Banta J, Clark RT, Hayes SR, et al: Implementation of a bundle of quality indicators for the early management of severe sepsis and septic shock is associated with decreased mortality. Crit Care Med; 2007, 35:1105-1112.
18. Levy MM, Dellinger RP, Townsend SR, Linde-Zwirble WT, Marshall JC, Bion J, et al: The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Intensive Care Med; 2010, 36:222-231.
19. Jochberger S, Ismailova F, Lederer W, Mayr V, Luckner G, Wenzel V, et al: Anesthesia and its allied disciplines in the developing world: a nationwide survey of the Republic of Zambia. Anesth Analg; 2008, 106:942-948.
20. Baker T: Critical care in low-income countries. Trop Med Int Health; 2009, 14:143-148.
21. Towey RM, Ojara S: Practice of intensive care in rural Africa: an assessment of data from Northern Uganda. Afr Health Sci; 2008, 8:61-64.
22. Dünser MW, Baelani I, Ganbold L: A review and analysis of intensive care medicine in the least developed countries. Crit Care Med; 2006, 34:1234-1242.
23. Sprung CL, Bernard GR, Dellinger RP: Guidelines for the management of severe sepsis and septic shock. Intensive Care Med; 2001, 27 (Suppl 1):S1-134.
24. Dellinger PR, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J, et al: Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock. Crit Care Med; 2004, 32:858-873.
25. Bataar O, Lundeg G, Tsenddorj G, Jochberger S, Grander W, Baelani I, et al: Nationwide survey on resource availability for implementing current sepsis guidelines in Mongolia. Bull World Health Organ; 2010, 88(11):839-46.
26. Kumar A, Ellis P, Arabi Y, Roberts D, Light B, Parrillo JE, et al: Initiation of inappropriate antimicrobial therapy results in a fivefold reduction of survival in human septic shock. Chest; 2009, 136:1237-1248.
27. Vlieghe E, Phoba MF, Tamfun JJ, Jacobs J: Antibiotic resistance among bacterial pathogens in Central Africa: a review of the published literature between 1955 and 2008. Int J Antimicrob Agents; 2009, 34:295-303.
28. Carlbom DJ, Rubenfeld GD: Barriers to implementing protocol-based sepsis resuscitation in the emergency department-results of a national survey. Crit Care Med; 2007, 35:2525-2532.
29. Kumar P: Providing the providers - remedying Africa's shortage of health care workers. N Engl J Med; 2007, 356:2564-2567.
30. Dünser M, Baelani I, Ganbold L: The specialty of anesthesia outside Western medicine with special consideration of personal experience in the Democratic Republic of the Congo and Mongolia. Anaesthesist; 2006, 55:118-132.
31. Baelani I, Dünser MW: Back to the future: intraoperative fluid restriction in gastrointestinal surgery - a new practice to the west, but an old one to sub-Sahara Africa. Anesth Analg; 2006, 102:1297.
32. Burns KEA, Duffett M, Kho ME, Meade MO, Adhikari NKJ, Sinuff T, et al: A guide to the design and conduct of self-administered surveys of clinicians. CMAJ; 2008, 179:245-252.