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Management and Outcome of Sepsis Cases in a Hospital

Sharath C.T., Senior Resident, Department of General Surgery, Oxford Medical College, Bengaluru, Karnataka 562107, India. , E. Chinnaiaha , Sharath C.T.b

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New Indian Journal of Surgery 8(3):p 426-429, Jul-Sep 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.24

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Abstract

Introduction: Septic shock is a medical condition as a result of severe infection and sepsis, though the microbe may be systemic or localized to a particular site. It can cause multiple organ dysfunction syndrome (formerly known as multiple organ failure) and death. Its most common victims are children, immuno-compromised individuals, and the elderly, as their immune system cannot deal with infection as effectively as those of healthy adults.

Methodology: All patients with suspected/confirmed sepsis admitted in the surgical unit were included in the study. This included operated, non-operated and trauma patients (eg: perforation peritonitis, Diabetic ulcer foot with gangrene Necrotizingfascitis). Patients had to fulfill two or more criteria of systemic inflammation. The parameters involved in calculating the SOFA score were collected on a daily basis.

Results: Among the 41 patients ventilated 33 (80.5%) expired and among the 59 patients who did not require ventilator support 14 (23.7%) expired.

Conclusion: Out of 32 patients whose SOFA score on admission was low (less than 8), 8 patients died. This data depicts, even with low SOFA score on admission, few patients died, because so many other factors are also contributing to the death of critically ill patients.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8317.24

Keywords

Sepsis; Management; SOFA. 

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