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An international survey: Public awareness and perception of sepsis*

Rubulotta, Francesca M. MD; Ramsay, Graham MD; Parker, Margaret M. MD; Dellinger, R Phillip MD; Levy, Mitchell M. MD; Poeze, Martijn MD, PhD

doi: 10.1097/CCM.0b013e3181926883
Clinical Investigations

Background: Sepsis is a common cause of death throughout the world. Early treatment improves outcome; however, treatment may be delayed if the patient does not present himself/herself for medical care until late in the disease process. Lack of knowledge about the syndrome may contribute to delay in presenting for medical care. However, we need to acknowledge the complexity of sepsis. General awareness of sepsis by the public may increase political pressure for research funding. Increased public awareness of acute myocardial infarction has contributed to reduced mortality over the last 50 yrs. This example provides a rationale for future efforts to increase the public awareness of sepsis.

Objective: The survey was designed to gain insight into public perceptions and attitudes regarding sepsis.

Design: Prospective, international survey performed using structured telephone interviews.

Subjects: A total of 6021 interviewees, 5021 in Europe and 1000 in the United States.

Measurements and Main Results: In Italy, Spain, the United Kingdom, France and the United States, a mean of 88% of interviewees had never heard of the term “sepsis”. In Germany 53% of people knew the word sepsis. In Italy, Spain, United Kingdom, France, and United States, of people who recognized the term sepsis, 58% did not recognize that sepsis is a leading cause of death.

Conclusions: There is poor public awareness about the existence of a syndrome known as sepsis. Results of this questionnaire underscore the challenges in early management and treatment of infected patients at risk for developing sepsis syndrome.

From the University Hospital Policlinico di Catania (FMR), Italy; West Hertfordshire NHS Trust (GR), United Kingdom; Stony Brook University (MMP), Stony Brook, NY; Cooper Health Systems (RPD), Camden NJ; Brown University (ML), Rhode Island Hospital, Providence, RI; and Department of Intensive Care Medicine (MP), University Hosptial, Maastricht, The Netherlands.

Francesca M. Rubulotta, Graham Ramsay, and Martijn Poeze: On behalf of the European Society of Intensive Care Medicine (ESICM).

Margaret M. Parker MD, R. Phillip Dellinger, and Mitchell M. Levy: On behalf of the Society of Critical Care Medicine (SCCM).

The authors have not disclosed any potential conflicts of interest.

For information regarding this article, E-mail: frubulotta@hotmail.com

© 2009 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins