ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN NHIỄM KHUẨN HUYẾTDO KLEBSIELLA PNEUMONIAE

Abstract

Objectives: To describe some clinical and laboratory characteristics of Klebsiella pneumoniae septicemia. Subjects and methods: Descriptive, cross-sectional, prospective and retrospective study in 48 septicemia patients caused by Klebsiella pneumoniae admitted to 103 Military Hospital from January 2017 to June 2021. Results: Median age: 62.67 ± 12.66  years; male 77,08%; underlying diseases: 72.90%; 10.40% hospital infection; 85.40% identified the path to infection (from respiratory tract 41.46%); 27.08% required surgical intervention during hospital stay; average hospital stay: 16.31±1.37 days; 100% had fever, including sudden fever 100%, high fever 45,80% and 58.30% had chills; 60%% pulse > 90 bpm; 12.50% with septic shock; 61% had pneumonia; 16.90% had respiratory failure; WBC >12G/L was 43.80%; Hb < 120g/l was 86.80%; platelets < 150G/l was 39.50%; PT% < 70% was 53.85%; urea >7.5mmol/L was 47.06%; creatinine ≥ 110µmol/L was 28.21%; total bilirubin > 20µmol/l was 47.83%; 60% had PCT >10ng/ml; 60% had CRP >100mg/L. Conclusion: Septicemia caused by K. pneumoniae has a high rate of the path to infection from the respiratory and digestive tracts, multiple organ disorders, a high rate of septic shock and mortality rate.