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Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre

INTRODUCTION: Sepsis is a life-threatening dysfunction and is one of the common causes of admission in intensive care units. Early diagnosis and management improves the outcome of patients. The aim of this study was to find out the prevalence of sepsis among patients admitted to the intensive care u...

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Autores principales: Mandal, Laxman, Rijal, Garima, Singh, Raj, Tiwari, Bhawana, Jahan, Farhat, Lama, Dipti, Shrestha, Sagun, Kurmi, Ram Narayan, Das, Uma
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the Nepal Medical Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579752/
http://dx.doi.org/10.31729/jnma.8275
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author Mandal, Laxman
Rijal, Garima
Singh, Raj
Tiwari, Bhawana
Jahan, Farhat
Lama, Dipti
Shrestha, Sagun
Kurmi, Ram Narayan
Das, Uma
author_facet Mandal, Laxman
Rijal, Garima
Singh, Raj
Tiwari, Bhawana
Jahan, Farhat
Lama, Dipti
Shrestha, Sagun
Kurmi, Ram Narayan
Das, Uma
author_sort Mandal, Laxman
collection PubMed
description INTRODUCTION: Sepsis is a life-threatening dysfunction and is one of the common causes of admission in intensive care units. Early diagnosis and management improves the outcome of patients. The aim of this study was to find out the prevalence of sepsis among patients admitted to the intensive care unit of a tertiary care centre. METHODS: A descriptive cross-sectional study was conducted among patients admitted to the intensive care unit of a tertiary care centre after obtaining ethical approval from the Institutional Review Committee. Data of patients admitted from 1 February 2022 to 31 January 2023 was collected between 6 April 2023 to 27 April 2023. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. RESULTS: Among 1001 patients, the prevalence of sepsis was 278 (27.77%) (25-30.54, 95% Confidence Interval). Among them, 209 (75.17%) developed septic shock. The mean age was 56.6±19.34 years. Pneumonia 43 (15.46%) and genitourinary infection 43 (15.46%) were the most common sources of infection and the source was unknown in 124 (44.60%) of patients. Hypertension 75 (26.97%) was the most common comorbidity. Acute kidney injury 166 (59.71%) was the most common complication followed by thrombocytopenia 165 (59.35%) and transaminitis 79 (28.41%). CONCLUSIONS: The prevalence of sepsis among patients admitted to the intensive care unit was higher than other studies done in similar settings.
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spelling pubmed-105797522023-10-18 Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre Mandal, Laxman Rijal, Garima Singh, Raj Tiwari, Bhawana Jahan, Farhat Lama, Dipti Shrestha, Sagun Kurmi, Ram Narayan Das, Uma JNMA J Nepal Med Assoc Original Article INTRODUCTION: Sepsis is a life-threatening dysfunction and is one of the common causes of admission in intensive care units. Early diagnosis and management improves the outcome of patients. The aim of this study was to find out the prevalence of sepsis among patients admitted to the intensive care unit of a tertiary care centre. METHODS: A descriptive cross-sectional study was conducted among patients admitted to the intensive care unit of a tertiary care centre after obtaining ethical approval from the Institutional Review Committee. Data of patients admitted from 1 February 2022 to 31 January 2023 was collected between 6 April 2023 to 27 April 2023. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. RESULTS: Among 1001 patients, the prevalence of sepsis was 278 (27.77%) (25-30.54, 95% Confidence Interval). Among them, 209 (75.17%) developed septic shock. The mean age was 56.6±19.34 years. Pneumonia 43 (15.46%) and genitourinary infection 43 (15.46%) were the most common sources of infection and the source was unknown in 124 (44.60%) of patients. Hypertension 75 (26.97%) was the most common comorbidity. Acute kidney injury 166 (59.71%) was the most common complication followed by thrombocytopenia 165 (59.35%) and transaminitis 79 (28.41%). CONCLUSIONS: The prevalence of sepsis among patients admitted to the intensive care unit was higher than other studies done in similar settings. Journal of the Nepal Medical Association 2023-09 2023-09-30 /pmc/articles/PMC10579752/ http://dx.doi.org/10.31729/jnma.8275 Text en © The Author(s) 2018. https://creativecommons.org/licenses/by/4.0/This is an Open-Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Mandal, Laxman
Rijal, Garima
Singh, Raj
Tiwari, Bhawana
Jahan, Farhat
Lama, Dipti
Shrestha, Sagun
Kurmi, Ram Narayan
Das, Uma
Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre
title Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre
title_full Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre
title_fullStr Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre
title_full_unstemmed Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre
title_short Sepsis among Patients Admitted to the Intensive Care Unit of a Tertiary Care Centre
title_sort sepsis among patients admitted to the intensive care unit of a tertiary care centre
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579752/
http://dx.doi.org/10.31729/jnma.8275
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