• Muhammad Akbar Baig, Hira Shahzad, Bushra Jamil, and Erfan Hussain.
• Postgraduate Year IV, Department of Emergency Medicine, Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan.
• J Pak Med Assoc. 2016 Mar 1; 66 (3): 337-8.

AbstractThe Surviving Sepsis Campaign (SSC) guidelines have outlined an early goal directed therapy (EGDT) which demonstrates a standardized approach to ensure prompt and effective management of sepsis. Having said that, there are barriers associated with the application of evidence-based practice, which often lead to an overall poorer adherence to guidelines. Considering the global burden of disease, data from low- to middle-income countries is scarce. Asia is the largest continent but most Asian countries do not have a well-developed healthcare system and compliance rates to resuscitation and management bundles are as low as 7.6% and 3.5%, respectively. Intensive care units are not adequately equipped and financial concerns limit implementation of expensive treatment strategies. Healthcare policy-makers should be notified in order to alleviate financial restrictions and ensure delivery of standard care to septic patients.

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