T. Loeb et al., SURVEY ON THE DIFFUSION AND IMPACT OF A C ONSENSUS CONFERENCE ON SEPSIS FROM CENTRAL VENOUS CATHETERS IN A MEDICAL TEAM, Annales francaises d'anesthesie et de reanimation, 15(5), 1996, pp. 617-622
Objectives: To assess the diffusion and the impact on the professional
practices of a consensus conference (CC) by the French speaking Socie
ty of Intensive Care on ''Central venous catheter-related sepsis in in
tensive care'' Study design: Before-after survey with two successive q
uestionnaires. Material and methods: Two questionnaires (Q1 and Q2) we
re circulated either to intensivists (group 1) or to anaesthetists (gr
oup 2) of a University Hospital, before (Q1) and after (Q2) distributi
on of the CC conclusions. They aimed to assess the diffusion of the co
nclusions by the CC; the professional practices before the CC and thei
r modifications after consideration of the recommendations by the CC.
Results: Out of the 55 consulted, 85% answered Q1, and 71% Q2. Among t
hem, 42% were aware of the conclusions of the CC before starting the s
urvey - 73.5% from group 1 and 28% from group 2. Therefore, conversely
to anaesthetists, intensivists, did not significantly modify their pr
ofessional practices after consideration of the CC conclusions. Conclu
sion: This study shows a satisfactory diffusion of the content of jury
's recommendations among anesthetists whereas the impact was less sati
sfactory with intensivists. The impact of a CC could probably be impro
ved by a better diffusion of the consensus statements and by the inter
vention of local linkmen.