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Prognosis Risk of Urosepsis in Critical Care Medicine: A Prospective Observational Study
- Source :
- BioMed Research International, Vol 2016 (2016), BioMed Research International
- Publication Year :
- 2016
- Publisher :
- Hindawi Limited, 2016.
-
Abstract
- This study aimed to investigate the clinical features of urosepsis and to raise awareness of this problem. Of the 112 sepsis patients enrolled, 36 were identified as having urosepsis. The bacteria involved in the infection leading to urosepsis includedEscherichia coli,Proteusspecies,Enterococcusspecies,Klebsiellaspecies, other Gram-positive cocci, andPseudomonas aeruginosa. Although the organ/system dysfunction appeared earlier in the urosepsis patients than in the other sepsis patients (4.7±2.4versus7.2±4.5hours,P<0.001), the urosepsis patients presented with a better prognosis and lower 28-day mortality rate than the others (6% versus 37%). In the multivariate analysis, the type of sepsis (urosepsis, OR = 0.019, 95% CI = 0.001, 0.335,P=0.007) and SOFA score (OR = 1.896, 95% CI = 1.012, 3.554,P=0.046) remained significantly associated with the survival. The time of admission to the intensive care unit of 17 patients transferred from the Department of Urinary Surgery was significantly prolonged compared with those transferred from other departments (11.6±7.3versus7.2±4.9hours,P<0.05). In conclusion, urosepsis suggested a better prognosis, but attention needs to be paid in clinical practice, especially in urinary surgery.
- Subjects :
- Adult
Male
medicine.medical_specialty
Multivariate analysis
Article Subject
Multiple Organ Failure
Urinary system
030232 urology & nephrology
lcsh:Medicine
medicine.disease_cause
General Biochemistry, Genetics and Molecular Biology
law.invention
Sepsis
03 medical and health sciences
0302 clinical medicine
Risk Factors
law
Klebsiella
Escherichia coli
medicine
Humans
Intensive care medicine
Aged
General Immunology and Microbiology
business.industry
Pseudomonas aeruginosa
Mortality rate
lcsh:R
030208 emergency & critical care medicine
General Medicine
Middle Aged
Prognosis
Proteus
medicine.disease
Intensive care unit
Intensive Care Units
Urinary Tract Infections
Female
Observational study
SOFA score
business
Enterococcus
Research Article
Subjects
Details
- ISSN :
- 23146141 and 23146133
- Volume :
- 2016
- Database :
- OpenAIRE
- Journal :
- BioMed Research International
- Accession number :
- edsair.doi.dedup.....76e9da011ac9b54942e8006affbc3280