Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre.

Autor:	Mandal L; Department of Internal Medicine, Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal., Rijal G; Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal., Singh R; Buddha Minimal Access Intervention Centre, Teku, Kathmandu, Nepal., Tiwari B; Himal Hospital, Gyaneshwor, Kathmandu, Nepal., Jahan F; Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal., Lama D; Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal., Shrestha S; Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal., Kurmi RN; Maharajgunj Primary Health Centre, Maharajgunj, Kapilvastu, Nepal., Das U; Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal.
Jazyk:	angličtina
Zdroj:	JNMA; journal of the Nepal Medical Association [JNMA J Nepal Med Assoc] 2023 Sep 01; Vol. 61 (265), pp. 691-694. Date of Electronic Publication: 2023 Sep 01.
DOI:	10.31729/jnma.8275
Abstrakt:	Introduction: Sepsis is a life-threatening dysfunction and is one of the common causes of admission in intensive care units. Early diagnosis and management improves the outcome of patients. The aim of this study was to find out the prevalence of sepsis among patients admitted to the intensive care unit of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients admitted to the intensive care unit of a tertiary care centre after obtaining ethical approval from the Institutional Review Committee. Data of patients admitted from 1 February 2022 to 31 January 2023 was collected between 6 April 2023 to 27 April 2023. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 1001 patients, the prevalence of sepsis was 278 (27.77%) (25-30.54, 95% Confidence Interval). Among them, 209 (75.17%) developed septic shock. The mean age was 56.6±19.34 years. Pneumonia 43 (15.46%) and genitourinary infection 43 (15.46%) were the most common sources of infection and the source was unknown in 124 (44.60%) of patients. Hypertension 75 (26.97%) was the most common comorbidity. Acute kidney injury 166 (59.71%) was the most common complication followed by thrombocytopenia 165 (59.35%) and transaminitis 79 (28.41%). Conclusions: The prevalence of sepsis among patients admitted to the intensive care unit was higher than other studies done in similar settings. Keywords: infection; intensive care unit; sepsis; tertiary care centre.
Databáze:	MEDLINE
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