Management and Outcome of Sepsis Cases in a Hospital
Journal Title: New Indian Journal of Surgery - Year 2017, Vol 8, Issue 3
Abstract
Introduction: Septic shock is a medical condition as a result of severe infection and sepsis, though the microbe may be systemic or localized to a particular site. It can cause multiple organ dysfunction syndrome (formerly known as multiple organ failure) and death. Its most common victims are children, immuno-compromised individuals, and the elderly, as their immune system cannot deal with infection as effectively as those of healthy adults. Methodology: All patients with suspected/confirmed sepsis admitted in the surgical unit were included in the study. This included operated, non-operated and trauma patients (eg: perforation peritonitis, Diabetic ulcer foot with gangrene Necrotizingfascitis). Patients had to fulfill two or more criteria of systemic inflammation. The parameters involved in calculating the SOFA score were collected on a daily basis. Results: Among the 41 patients ventilated 33 (80.5%) expired and among the 59 patients who did not require ventilator support 14 (23.7%) expired. Conclusion: Out of 32 patients whose SOFA score on admission was low (less than 8), 8 patients died. This data depicts, even with low SOFA score on admission, few patients died, because so many other factors are also contributing to the death of critically ill patients.
Authors and Affiliations
E. Chinnaiah
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