PROGNOSTIC FACTORS IN BACTEREMIA CAUSED BY AEROMONAS HYDROPHILA AT NATIONAL HOSPITAL FOR TROPICAL DESEASE
Main Article Content
Abstract
Objective: Describe prognostic factors in patients with septicemia caused by A. hydrophila at National Hospital for Tropical Diseases. Materials and methodes: A cross-sectional study was carried all patients diagnosed with septicemia caused by A. hydrophila at National Hospital for Tropical Diseases during the period from 2011 to 2016. Results: A total of 32 patients with bacteremia due to A. hydrophila were identified. The incidence of septic shock was 37.5%, the mortality were 34.4%. Mortality was significantly associated with organ dysfunction (kidney failure, respiratory failure, circulatory failure, neurological failure) (P ≤ 0.009; OR > 13, 95%CI no contains value 1); Procalcitonin (PCT) ≥ 2.2 ng/ml (OR = 7.4 (95% CI: 1.4 – 38.4)); PCT-clearance (PCT-c) decreased less than -25.8% (OR=16, (95%CI: 2.6 – 97.2)); APACHE II score ≥ 20 points (OR = 35 (95% CI: 3.3 – 368)).
Article Details
Keywords
Sepsis, A. hydrophila, pronogsis factors.
References
2. Dryden M and Munro R. Aeromonas septicemia: relationship of species and clinical features. Pathology, 1989. 21(2): p. 111-4.
3. Tang H.J et al. Clinical manifestations of bacteremia caused by Aeromonas species in southern Taiwan. PLoS One, 2014. 9(3): p. e91642.
4. Han-Chuan Chuang et al. Different clinical characteristics among Aeromonas hydrophila, Aeromonas veronii biovar sobria and Aeromonas caviae monomicrobial bacteremia. J Korean Med Sci, 2011. 26(11): p. 1415-20.
5. Choi J.P, et al. Clinical significance of spontaneous Aeromonas bacterial peritonitis in cirrhotic patients: a matched case-control study. Clin Infect Dis, 2008. 47(1): p. 66-72.
6. Dan Liu, L.S., et al. Prognostic Value of Procalcitonin in Adult Patients with Sepsis: A Systematic Review and Meta-Analysis. PLoS One, 2015. 10(6): p. e0129450.
7. Guan J, Lin Z, and Lue H. Dynamic change of procalcitonin, rather than concentration itself, is predictive of survival in septic shock patients when beyond 10 ng/mL. Shock, 2011. 36(6): p. 570-4.
8. Mat Nor, M.B. and A. Md Ralib. Procalcitonin clearance for early prediction of survival in critically ill patients with severe sepsis. Crit Care Res Pract, 2014. 2014: p. 819034.