АНАЛИЗ СОБЛЮДЕНИЯ СОВРЕМЕННОЙ СТРАТЕГИИ ПО ВЕДЕНИЮ ПАЦИЕНТОВ С СЕПСИСОМ И ПРОФИЛАКТИКЕ ИНФЕКЦИЙ НА ЭТАПЕ ИНТЕНСИВНОЙ ТЕРАПИИ. РЕЗУЛЬТАТЫ МНОГОЦЕНТРОВОГО ИССЛЕДОВАНИЯ

Abstract

This article analyzes compliance with basic current international and national recommendations for managing sepsis patients and infection prevention in the critical care departments of medical units located on the territory of Russia. The study was conducted by means of interactive polling during special training sessions devoted to sepsis (Sepsis Schools) during 2013–2014 run in 45 large cities of Russia covering almost all regions of the country. The total number of responding doctors made 2,915 persons. The obtained data have proven that the main problems are inadequate provision with modern equipment and technologies for microbiological diagnostics and the absence of laboratory service available for 24 hours. There is significant lack of knowledge about role of biomarkers for sepsis diagnostics. Dopamine and hetastarch are unnecessary widely used to treat septic shock. More than half of specialists can not start empiric antimicrobal therapy with the optimal agent within the first hour after the diagnosis is clear.