Bulletin of the World Health Organization

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

Otgon Bataar, Ganbold Lundeg, Ganbat Tsenddorj, Stefan Jochberger, Wilhelm Grander, Inipavudu Baelani, Iain Wilson, Tim Baker, Martin W Dünser & for the Helfen Berührt Study Team

Volume 88, Number 11, November 2010, 839-846

Table 3. Availability of equipment needed to implement Surviving Sepsis Campaign guidelines in 38 secondary and tertiary hospitals in Mongolia, 2009

Tests and equipment Always
 Sometimes
 Never
 Don't know
No. % No. % No. % No. %
Diagnostic equipment
X-ray 33 86.8 2 5.3 3 7.9 0 0
Ultrasound 37 97.4 1 2.6 0 0 0 0
Echocardiography 14 36.8 3 7.9 21 55.3 0 0
Laboratory tests
Gram stains (n = 37) 20 54.1 4 10.8 6 16.2 7 18.9
Microbiological cultures 23 60.5 8 21.1 5 13.2 2 5.3
Antibiotic sensitivities 22 57.9 8 21.1 6 15.8 2 5.3
Glycemia 35 92.1 3 7.9 0 0 0 0
Blood gases 4 10.5 5 13.2 24 63.2 5 13.2
Lactate 5 13.2 5 13.2 23 60.5 5 13.2
Blood count 36 94.7 1 2.6 1 2.6 0 0
Creatinine 36 94.7 2 5.3 0 0 0 0
Bilirubin 36 94.7 2 5.3 0 0 0 0
Prothrombin time/INR 19 50 8 21.1 10 26.3 1 2.6
Other coagulation tests 21 55.3 9 23.7 7 18.4 1 2.6
Monitoring equipment
Body temperature 38 100 0 0 0 0 0 0
Non-invasive blood pressure 38 100 0 0 0 0 0 0
Invasive blood pressure 7 18.4 2 5.3 26 68.4 3 7.9
Oxygen saturation 35 92.1 3 7.9 0 0 0 0
Central venous pressure 12 31.6 13 34.2 11 28.9 2 5.3
Cardiac output 0 0 6 15.8 30 78.9 2 5.3
Pulmonary arterial pressure 0 0 5 13.2 31 81.6 2 5.3
Endtidal carbon dioxide 9 23.7 4 10.5 21 55.3 4 10.5
Other equipment
Mechanical ventilator 28 73.3 4 10.5 6 15.8 0 0
Syringe pump 25 65.8 5 13.2 7 18.4 1 2.6
Fluid infuser 22 57.9 2 5.3 12 31.6 2 5.3
Peritoneal dialysis 1 2.6 2 5.3 34 89.5 1 2.6
Haemodialysis/haemofiltration 3 7.9 0 0 35 92.1 0 0

INR, international normalized ratio.