Clinical profile of patients with leptospirosis requiring hemodialysis and intensive care
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Leptospirosis is a zoonotic condition with high morbidity. The aim of this study was to assess clinical predictive factors for intensive care admission and hemodialysis among patients with severe leptospirosis. This was an observational longitudinal study in which all patients with severe leptospirosis admitted to a tertiary hospital and receiving intensive care and hemodialysis owing to kidney injury were included in the study. 104 patients were included in the study. Mean age of the patients was 33 ± 9.8 years, of which 53% were males and the remaining 47% were females. Most common predictors for ICU care were hypotension, tachypnoea, impaired LFT and coagulation parameters and oliguria (acute kidney injury). Conclusions: Predictive factors for ICU admission in leptospirosis include oliguria, impaired coagulation profile and liver function tests, tachypnoea and hypotension.
Authors and Affiliations
Dr. Dayamani B. , Dr. Manjunath J. , Dr. Sayyed Mohammed
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