Original Articles
Spectrum, treatment and outcome of sepsis at an Indian tertiary hospital: Clinical and microbiological characterization | |
Dr. Neha Baid, Dr. Sanchita Nihal, Dr. Vivek Kumar | |
Background: More than 50% of hospital deaths are caused by community-acquired sepsis, a fatal systemic reaction. It is possible to greatly improve patient outcomes and cut costs by having a better understanding of disease states, progression, severity, and clinical signs, including microbiological characteristics. Objective: Evaluation of community-acquired sepsis outcomes and microbiological traits in patients admitted to tertiary care facilities is the goal. Methods: Over the course of a year, a retrospective, observational cohort analysis of all adult patients who were hospitalised for community-acquired sepsis was conducted. Patients who met the inclusion criteria provided clinical and microbiological data. Utilising the culture approach, the microbial properties of each sepsis were examined, and the responsible bacteria was discovered. Mortality from all causes in hospitals was the main result. The length of stay (LOS) and admission to the intensive care unit (ICU) were secondary outcomes. Results: We looked at 107 sepsis patients' data, of which 38.3% had sepsis, 32.7% had severe sepsis, and 29% had septic shock. 214 people. The included patients' median age was 55.6± 21.5 years, and 54% of them were female. Abdominal (24.3%) and genitourinary (28%) infections were the most common sources of infections. Atherosclerosis (61.7%), chronic heart disease (45.8%), and diabetes mellitus (31.8%) were the three concomitant illnesses with the highest prevalence. E. coli was the most common pathogen among gram-negative bacteria, followed by K. pneumoniae (5.6%) and S. enteritidis (4.7%). The most common infections among gramme positive patients were S. pneumoniae (8.4%), S. aureus (6.5%), and S. pyogenes (3.7%). Mortality in hospitals was high (14.0%). Conclusion: Sepsis acquired in the community carries a heavy illness burden with distinctive sources and causal agents. The underlying factors particularly microbiological characteristics assessment may help for guiding treatment strategies. |
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