title: A Comparison of Residents' Knowledge Regarding the Surviving Sepsis Campaign 2012 Guideline.
abstract: BACKGROUND
  Recently, Surviving Sepsis Campaign (SSC) guideline was updated. Our objective was to evaluate the knowledge of residents in different departments regarding the SSC 2012.
  
  
  METHODS
  A cross-sectional, descriptive self-questionnaire was distributed to interns and residents in the Departments of Internal Medicine, Surgery, and Emergency Medicine.
  
  
  RESULTS
  The response rate was 136 (89%) from 153 residents. The residents included 46 (33%) interns, 42 (31%) internal medicine residents, 41 (30%) surgical residents, and 7 (5%) emergency residents. Regarding the definitions of severe sepsis and septic shock, only 44 (32.4%) residents were able to differentiate the severity of sepsis. The surgical residents had a significantly lower rate of correct answers than that of internal medicine residents (12.2% vs. 45.2,P= 0.001), emergency residents (12.2% vs. 57.1%,P= 0.005), and interns (12.2% vs. 34.8%,P= 0.014). Only 77 (51.5%) residents would measure blood lactate in patients with sepsis. In respect to the dose of fluid resuscitation, only 72 (52.9%) residents gave the recommended fluid (30 ml/kg) within the first 3 h. Surgical residents had a significantly lesser percentage of correct answers than that of internal medicine residents (29.3% vs. 69%,P< 0.0001) and interns (29.3% vs. 60.8%,P= 0.003). About 123 (90.4%) and 115 (84.6%) residents knew the appropriate targets for mean arterial pressure and vasopressors, respectively. Most residents could give antimicrobial drugs (73.5%) and steroids (93.4%) appropriately in the treatment of patients with septic shock. However, only half of the residents knew the target range of blood sugar control in patients with sepsis.
  
  
  CONCLUSIONS
  Our residents' knowledge about the SSC 2012 is not satisfactory. Further instruction concerning sepsis management is required.
authors.affiliation: Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
authors.forename: Onnicha
authors.initials: O
authors.lastname: Suntornlohanakul
authors.affiliation: Division of Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
authors.forename: Bodin
authors.initials: B
authors.lastname: Khwannimit
keywords: Knowledge; resident; septic shock; severe sepsis; surviving sepsis campaign