Nationwide survey on resource availability for implementing current sepsis guidelines in Mongolia.

Area of Science:

• Critical Care Medicine
• Public Health Policy
• Healthcare Resource Management

Background:

• Sepsis management requires adherence to evidence-based guidelines.
• The Surviving Sepsis Campaign (SSC) provides critical recommendations for sepsis care.
• Assessing resource availability is crucial for guideline implementation.

Purpose of the Study:

• To evaluate the resource availability in Mongolian secondary and tertiary hospitals for implementing the 2008 Surviving Sepsis Campaign (SSC) guidelines.
• To identify critical resource gaps in Mongolian healthcare facilities.

Main Methods:

• A nationwide survey was conducted using a 74-item questionnaire.
• The survey targeted head physicians in intensive care units or emergency departments of 44 hospitals.
• Data collected focused on facilities, equipment, drugs, and disposable materials needed for SSC guideline implementation.

Main Results:

• A response rate of 86.4% was achieved.
• No hospital in Mongolia possessed the necessary resources for consistent SSC guideline implementation.
• Median implementable recommendations were 52.8%, with no significant difference between central and rural hospitals.

Conclusions:

• Mongolian hospitals face severe resource limitations, preventing the implementation of current SSC guidelines.
• Urgent improvements in facilities, equipment, drugs, and materials are necessary for effective sepsis management.
• Further research on national sepsis care strategies and healthcare professional training is recommended.