Professional paper

Retrospective study of the incidence and outcomes of sepsis in a Center

Mislav Omerbašić ; University of Zagreb, School of medicine
Josip Glavić ; University of Zagreb, School of medicine
Anamarija Kovač-Peić ; General hospital "Dr. Josip Benčević" Slavonski Brod, Department of internal medicine, Division of hematology and oncology
Hrvoje Holik ; General hospital "Dr. Josip Benčević" Slavonski Brod, Department of internal medicine, Division of hematology and oncology
Ivana Vučinić-Ljubičić ; General hospital "Dr. Josip Benčević" Slavonski Brod, Department of internal medicine, Division of hematology and oncology
Zvjezdana Borić-Mikez ; General hospital "Dr. Josip Benčević" Slavonski Brod, Department of internal medicine, Division of hematology and oncology
Božena Coha ; General hospital "Dr. Josip Benčević" Slavonski Brod, Department of internal medicine, Division of hematology and oncology

Abstract

Background: sepsis is the common cause of death in immunocompromised patients and those suffering from malignant diseases. The mortality can be significantly reduced when early and correct diagnosis is given and the appropriate therapy is administered. Here we set to determine the incidence, sources and outcomes of sepsis and to resolve which bacteria, based on Gram staining, are more often the cause of sepsis.
Patients and methods: we conducted a retrospective study of medical history in a two-year period, from April 2014 to April 2016. Diagnosis was given based on patients’ blood culture findings or their clinical presentation.
Results: during a two-year period 1663 patients were treated. Sepsis was diagnosed in 35 patients (2.10%). The median age was 73 years and 22 patients (63%) were male. Sepsis was the primary cause of death in 10 patients (29%). Gram-positive bacteria were isolated in 21 patients (60%), and Gram-negative bacteria in 10 patients (31%).
Conclusion: in our retrospective study, the gastrointestinal tract had the highest frequency of identified sepsis source. The incidence of sepsis caused by Gram-positive bacteria found in blood cultures was higher than by Gram-negative bacteria. However, due to small sample size, no difference in mortality was found based on Gram status.

Keywords

sepsis; malignant disease; Gram-positive; Gram-negative

Hrčak ID:

225794

URI

https://hrcak.srce.hr/225794

Publication date:

1.10.2019.

Visits: 1.240 *