Đặc điểm lâm sàng và cận lâm sàng ở bệnh nhân sốc nhiễm khuẩn do vi khuẩn Gram âm điều trị tại Bệnh viện Trung ương Quân đội 108 năm 2016 - 2018

Abstract

Objective: To describe clinical and laboratory characteristics in septic shock patients due to Gram negative bacteria treated at 108 Military Central Hospital. Subject and method: 44 septic shock patients due to Gram negative bacteria treated at 108 Military Central Hospital. These patients met septic shock criteria according to Survival Sepsis Campaign (SSC) 2016 and their blood culture results were positive with Gram-negative bacteria. A cross-sectional study was conducted with the sample size of convenience. Patient information was documented by a standard questionnaire form. Result: Clinical manifestations were very complex, Fever accounted for 81.8%, mainly mild-grade fever 52.8%. Rigor 58.3%. The most common organ failure was kidney failure with 74.4%, followed by liver failure with 68.2% and respiratory failure with 65.9%. The mortality rate was high as 65.9%, the most common primary infection site was GI tract with 45.6%, followed by respiratory tract (25%), urinary tract (20.5%). Leukocytosis was 61.4%, mainly mild elevated. Hundred percent of patients had high level of PCT with 91% patients had PCT > 10ng/ml. E. coli is the major cause with 59.1%, followed by K. pneumoniae with 15.9%.