The Outcome of Sepsis Patients Admitted to the Intensive Care Unit: Experience of 100 Cases

Abstract

Introduction: The term sepsis has a deep root all over medical history. It defined by a many physician and myth such as Homer’s Iliad. Sepsis defined as a clinical syndrome as an outcome from both systemic inflammatory response syndrome and infection. It can complicate by disturb the function of the organ (severe sepsis) and shock (septic shock). Aim: Our study aims to recognize sepsis cases in Al-Sader Medical city during 2019 and evaluate the management’s management and the weak point in this management. Methods: It is a cross-sectional study done in Al-Sader Medical city; data collected from the archived files in the hospital during 2019, 100 cases reported in this period diagnosed and admitted as sepsis or admitted with other diagnosis evolved sepsis. Results: We found that one-third of the patients diagnosed as sepsis admitted to the intensive care unit, the mean duration of management 15.8 days. Many investigations did for these patients, the treatment which given to the patients was iv. fluids and antibiotics for entire patients, we also noted that death occurs in more than half of the patients in our study and death were prevalent among patient with a negative result in blood culture also the male patient was more predominant than the female patient and Najaf residency is more than three-quarters of them. Finally, we found that admission to the intensive care unit from units other than emergency or intensive care unit itself found is nearly one-third of the patient diagnosed as sepsis and the respiratory system was commonly involved and presented as pneumonia. Conclusion: More than half of the diagnosed cases died. The maximum common source of admission was from other hospital units, the severe sepsis and no growth of blood culture closely associated with death.

Suppression PCR-Based Selective Enrichment Sequencing for Pathogen and Antimicrobial Resistance Detection on Cell-Free DNA in Sepsis—A Targeted, Blood Culture-Independent Approach for Rapid Pathogen and Resistance Diagnostics in Septic Patients

“…Also, investments are moderate and therefore in-house analysis using SUPSETS seems manageable (Supplementary Table S7). With significantly high costs for a septic patient per day at ICU and more reliable results than blood culture (Figure 4), SUPSETS might be an attractive option with respect to cost savings [7,43].…”

Factors Affecting the Length of Stay in the Intensive Care Unit among Adults in Saudi Arabia: A Cross-Sectional Study

“…One major factor affecting the LOS in the ICU is the severity of the patient's illness or condition upon admission. Studies have consistently shown that patients with critical conditions, such as sepsis, acute respiratory distress syndrome (ARDS), or those requiring mechanical ventilation tend to have more extended stays in the ICU [10]. This underscores the importance of early identification and management of the critically ill patients to potentially reduce their LOS.…”