Case Fatality Rate among Septicemia Patients in a Tertiary Care Hospital of Western India
Journal Title: National Journal of Community Medicine - Year 2017, Vol 8, Issue 11
Abstract
Objective: The present study was carried out to study common sites of infection and organisms leading to sepsis commonly, to study various agents and host factors leading to sepsis and their prognostic im-portance and fatality rate due to sepsis. Method: The present prospective study was conducted in patients with clinical features suggestive of sepsis were included in the study. Gram stain and culture of the mate-rial from the primary site of infec-tion for the microbial etiology was taken. Other appropriate laboratory data depending upon the require-ment was done. Results: Among 50 cases of sepsis studied, 34 were male (68%) and 16 were female (32%). DM was the common co-morbid condition along with IHD, COPD, pulmonary Koch’s, hypertension and alcoholic liver disease. The common compli-cations were respiratory failure, kidney failure and shock. The over-all case fatality rate was found to be 42%.It was observed that mortality was higher among the patients pre-senting with shock (73%) and ab-normal liver function tests (70%). Conclusion: Higher fatality rate was associated with age above 58 years, female gender, increase in co-morbid conditions, patients present-ing with shock and abnormal liver function tests and increase in num-ber of organ failures. Mortality was higher in patients with positive blood culture and patients with gram negative septicemia.
Authors and Affiliations
Kamalchandra P Naik, Dipika Patel, Ankur B Patel, Dharmil M Patel
Keywords
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