Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/33295
Title: Assessment of clinical and epidemiological characteristics of patients with and without sepsis in intensive care units of a tertiary hospital
Authors: Morello, Luis Gustavo
Dalla-Costa, Líbera Maria
Fontana, Rafael Mialski
Netto, Ana Cristina Schmidt de Oliveira
Petterle, Ricardo Rasmussen
Conte, Danieli
Pereira, Luciane Aparecida
Krieger, Marco Aurélio
Raboni, Sonia Mara
Affilliation: Fundação Oswaldo Cruz. Instituto Carlos Chagas. Curitiba, PR, Brasil.
Universidade Federal do Paraná. Hospitais de Clínicas. Curitiba, PR, Brasil.
Universidade Federal do Paraná. Hospitais de Clínicas. Curitiba, PR, Brasil.
Universidade Federal do Paraná. Hospitais de Clínicas. Curitiba, PR, Brasil.
Universidade Federal do Paraná. Hospitais de Clínicas. Curitiba, PR, Brasil.
Universidade Federal do Paraná. Hospitais de Clínicas. Curitiba, PR, Brasil.
Universidade Federal do Paraná. Hospitais de Clínicas. Curitiba, PR, Brasil.
Fundação Oswaldo Cruz. Instituto Carlos Chagas. Curitiba, PR, Brasil.
Universidade Federal do Paraná. Hospitais de Clínicas. Curitiba, PR, Brasil.
Abstract: To describe the clinical and epidemiological features of patients with and without sepsis at critical care units of a public hospital. As methods: A cross-sectional study was carried out from May 2012 to April 2013. Clinical and laboratory data of patients with and without sepsis in the intensive care units were reviewed of medical records. Results: We evaluated 466 patients, 58% were men, median age was 40 years, and 146 (31%) of them were diagnosed with sepsis. The overall mortality was 20% being significantly higher for patients with sepsis (39%). The factors associated with intensive care unit mortality were the presence of sepsis (OR: 6.1, 95%CI: 3.7-10.5), age (OR: 3.6, 95%CI: 1.4-7.2), and length of hospital stay (OR: 0.96, 95%CI: 0.94-0.98). Pulmonary (49%) and intra-abdominal (20%) infections were most commonly identified sites, and coagulasenegative staphylococci and enteric Gram negative bacilli the most frequent (66%) pathogens isolated. It concluded that, Although the impact of sepsis on mortality is related to patients’ clinical and epidemiological characteristics, a critical evaluation of these data is important since they will allow the direct implementation of local policies for managing this serious public health problem.
Keywords: Blood Culture
Sepsis
Bacterial Infections
Critical care
Keywords in spanish: Cultivo de Sangre
Infecciones Bacterianas
DeCS: Hemocultura
Sepse
Infecções Bacterianas
Cuidados Críticos
Issue Date: 2019
Publisher: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Citation: MORELLO, Luis Gustavo et al. Assessment of clinical and epidemiological characteristics of patients with and without sepsis in intensive care units of a tertiary hospital. einstein, São Paulo, v. 17, n. 2, p. 1-8, 2019.
DOI: 10.31744/einstein_journal/2019AO4476
ISSN: 1679-4508
Copyright: open access
Appears in Collections:PR - ICC - Artigos de Periódicos

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