Author Login

Correspondence to Author: Wellington da Silva Pereira da Cunha^1,2, Mariana Ferreira^1,2,Rebeca Dias Ribeiro Ferraz Felipp^1,2, Gabriel Leonardo Saraiva^1,2,Nathalia Costa Macedo^1,2,Vitor Oliveira Lima¹, Emanuella lira Alves Marques^1,2,Elaine Cristina Ferrari(^1,2,Ana Beatriz Pacheco^1,2,Tchaila Ilze Azevedo Cabral^1,2, Pedro Henrique Oliveira do Nascimento^1,2,Jenyffer Victoria Cabrera villca^1,2, Raquel Perez Carvalho^1,2, Anderson Camacho de Souza^1,2, Diana Aparecida da Silva Nascimento^1,2,Isabela Campos Rabelo^1,2, Fabiula Cristina da Cunha³,Joseany Adelina da Silva⁴, Délio Tiago Martins Malaquias^1,2,5, Joel Eloi Belo Junior⁷, Thiago Augusto Rochetti Bezerra^1,2,6. 

1. Member of the Intensive Care and Palliative Care Academic League - LATICP, University of Ribeirão Preto - UNAERP, Guarujá-SP.
2. Medical student, University of Ribeirão Preto - UNAERP- Guarujá-SP.
3. Degree in Nursing - Faculdade das Américas -FAM - São Paulo-SP.
4. Nursing undergraduate student - Cruzeiro do Sul University - São Paulo-SP.
5. Physiotherapist graduated from the University of Mogi das Cruzes, São Paulo-SP, Postgraduate in Hospital Physiotherapy, Bahiana School of Medicine and Public Health, Salvador -BA; Postgraduate in Respiratory Physiotherapy and Intensive Care in Pediatrics and Neonatology, University of São Paulo - São Paulo-SP.
6. PhD in Medical Sciences. Ribeirão Preto Medical School. University of São Paulo. Ribeirão Preto-SP.
7. Master’s Degree in Operational Human Performance.Master’s Degree in Intellectual Property and Technology Transfer for Innovation.

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.