The American Journal of Public Health

Systematic Review Of The Joint Role Of Doctors, Nurses And Physiotherapists In Pulmonary Sepsis With Elevated Sofa In Intensive Care Units.

DOI: 10.52338/tajoph.2025.4832

Abstract:

Pulmonary sepsis is one of the main causes of mortality in intensive care units (ICUs), especially among patients with severe organ dysfunction, as assessed by scores such as SOFA (Sequential Organ Failure Assessment). Given this scenario, the aim of this systematic review was to analyze the impact of an interdisciplinary approach and the application of integrated protocols on reducing mortality in patients with pulmonary sepsis with a SOFA score ≥ 2. The search was carried out on the PubMed, SciELO, LILACS, Embase and Web of Science databases, including studies published between 2015 and 2025. After screening and applying the eligibility criteria, 42 studies were included. The results showed that the integration of multi-professional teams, combined with the implementation of structured care protocols, resulted in a significant reduction in mortality, shorter hospital stays and early clinical improvement. Interventions such as early administration of antimicrobials, protective ventilatory support, respiratory physiotherapy and the role of the clinical pharmacist proved to be effective when applied in a coordinated manner. The use of early warning systems also contributed to the rapid identification of sepsis and the immediate start of treatment. The findings of this review reinforce the need for standardized, protocol-based and interprofessional care to optimize outcomes in patients with severe pulmonary sepsis. It is concluded that an interdisciplinary approach based on integrated protocols is an effective strategy and should be promoted as standard practice in ICUs.

Keywords: Pulmonary sepsis; SOFA; Intensive care; Interdisciplinary approach; Clinical protocols; Hospital mortality

Citation:

Dr.Thiago Augusto Rochetti Bezerra, Systematic Review Of The Joint Role Of Doctors, Nurses And Physiotherapists In Pulmonary Sepsis With Elevated Sofa In Intensive Care Units. The American Journal of Public Health 2025.

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