ABSTRACT

A survey of anaesthetic providers in sub-Saharan African hospitals explored the implementation and delivery of international sepsis standards and revealed just 1.2% of hospitals could implement these standards. Potential causes of sepsis, including bacterial, fungal, viral, protozoal or tropical disease, add complexity to the presentation and management of sepsis. Key interventions in sepsis care involve early recognition of patients with sepsis, assessment and screening for the cause of sepsis, early administration of oxygen and antibiotics and treatment of the underlying cause. In extreme cases, sepsis may be linked to an outbreak, for example cholera or H1N1 influenza; this results in a balance between a high caseload of patients and a low supply of resources and personnel. S. T. Jacob et al. highlighted the material and human resources who impacted on sepsis care in Uganda. The revised international definitions of sepsis recommended the use of the Sequential Organ Failure Assessment.