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- 저자 : ( Angel Ricardoarenas Villamizar ) (검색결과 1 건)
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( Angel Ricardoarenas Villamizar ),( Hoover Leon Giraldo ),( Esteban Rodriguez Cardenas ),( Jenny Munoz Lombo ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Objective: To estimate the survival curves (Kaplan Meier) categorized by risk groups of patients who died of SIRS, sepsis, septic shock or severe sepsis during the year 2011, and carry out their respective characterization Methods: Sample Size: Totality of patients who died of septicemia diagnoses according to the ICD-10 Criteria for Inclusion: elder 15-year-old patients. Direct cause of death: Septicemia. To comply with The American College of Chest Physicians and The Society of Critical Care Medicine criteria for diagnosis of Systemic infi ammatory response syndrome SIRS, sepsis, severe sepsis or septic shock. Exclusion criteria: deceased patients with different diagnoses and Patients Younger than 15 years old. Statistical Analysis Plan: It was carried out univariate and bivariate analysis. It was calculated the categorized survival values: gender, origin of remission, antibiotic treatment and comorbidities. It was used STATA version 10. 0 Results: Certifi ed cases of death by SEPSIS (n = 243) 23%, were incorrectly classifi ed. 55. 67% of deaths by SEPSIS were of community origin and 44. 33% were associated to infections in health care (IAHC). 34, 04% of the established treatments were not relevant. The fall of the survival curve was faster in patients with community germs died of sepsis. The main germ found in the community was the E. Coli: 11. 48%, it was followed by Klebsiella pneumonia: 7. 38% For patients with IAHC, the Pseudomona aeruginosa ranked fi rst: 12. 12%. Conclusions: As to the origin of the infection, the pulmonary focus was the further presentation. It was found sepsis diagnoses not justifi ed which alters the epidemiology of the institution. It`s required a greater adherence to the manuals and protocols for the rational use of antibiotics by improving the timeliness and effectiveness of the same. Studies are suggested to the germs from the community where survival rates fall more dramatically than the germs involved in infections associated with health care.
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