Resumo

GOIBURU-BIANCO, M. E et al. Survery about nutrition knoweldgs between intensives medical doctors in Asuncion public Hospital. An. Fac. Cienc. Méd. (Asunción) [online]. 2005, vol.38, n.4, pp.38-45. ISSN 1816-8949.

Nutritional support is an integral part of the total care of the critically ill patient at the intensive care unit (ICU). These patients are often hypercatabolic and needing adequate nutritional support. The nutrition prescription, amount and follow-up usually are managed by the intensive care physician. However it is important to know the clinical nutrition expertise of these physicians. Objective: To evaluate, in critical care physicians, their clinical nutrition knowledge grade and interest. Method: The prospective survey encompassed 60 intensive care physicians from three public hospitals in the city of Asunción - Paraguay (22 specialists and 38 residents), with 34 ± 6 years old and professional experience in average of 5.8 ± 6 years. The survey contained 10 questions with answers of multiple choice to determine the knowledge grade accordingly to the obtained degree and 5 questions about the professional capacity and attitude related to nutritional support in the ICU. Results: From the physicians surveyed 98.3% has considered that the nutritional treatment of the ICU patient has impact on the morbidity and mortality of the patients. In spite of this 88.3% of the ICU physicians has considered insufficient their clinical nutrition ability. Only 30% of the ICU physicians uses to read regularly clinical nutrition articles in scientific journals. Only 25% of them knows how to formulate parenteral nutrition and 30% has participated in any clinical nutrition course in the last 5 years. The total qualification for the 10 questions survey (for a maximum of 10), was 6.1 ± 1.9 for ICU specialist and 5.59 ± 2.3 for ICU residents (p= 0,3). The physicians time of ICU experience made a difference since those with less of two years had a worse store than those with more than two years of ICU clinical practice (5.2 ± 2.3 versus 6,4 ± 1,7, respectively, p= 0,02). Conclusion: The clinical nutrition expertise in intensive care physicians in Paraguay is not adequate, and is lower in those physicians with less time of ICU clinical experience. These observations indicate the immediate necessity to invest in physician education in order to bring integral care to the ICU patient.

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