Nghiên cứu các yếu tố tiên lượng tử vong ở bệnh nhân sốc nhiễm khuẩn có suy đa tạng do vi khuẩn Gram âm điều trị tại Bệnh viện Trung ương Quân đội 108 năm 2016 đến năm 2018

Abstract

Objective: To investigate predictive factors of death in septic shock patients with multi-organ failure due to Gram-negative bacteria.            Subject and method: 44 septic shock patients with multi-organ failure due to Gram-negative bacteria. These patients fulfilled septic shock criteria according to Survival Sepsis Campaign (SSC) 2016 and their blood culture results were positive with Gram-negative bacteria. Diagnosis of multiple organ failure was based on the modified Klaus criteria 2005. Patients were divided into two groups: Survival and death. Compare two patient groups to find out some prognostic factors.      Result and conclusion: Fatality rate in septic shock patients with multi-organ failure caused by Gram-negative bacteria was 65.9%. The most common organ failures were respiratory (82.8%), liver (69%) and kidney (69%). The higher the number of organ failure was the higher the mortality rate. There are three (3) independent death predictors in septic shock patients with multi-organ failure caused by Gram-negative bacteria namely APACHE II > 22, SOFA > 9 and PCT ≥ 100ng/ml.