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CLINICAL, MICROBIOLOGY CHARACTERISTICS AND RESULTS OF TREATMENT OF PATIENT WITH UROSEPSIS AT DEPARTMENT OF EMERGENCY – HANOI MEDICAL UNIVERSITY HOSPITAL
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Abstract
Objectives: To evaluate the clinical, microbiological characteristics and treatment results of patients with urosepsis admitted to the emergency department at Hanoi Medical University Hospital. Methods: Cross-sectional descriptive. Results: There were 44 patients, 56.8% (25/44) female; average age: 66.98 ± 14.51 (26 – 94); 59.1% (26/44) are aged ≥ 65; 26/44 (59.1%) had shock; average SOFA score: 5.8 ± 2.95, average APACHE II score: 15.36 ± 4.19. As a result, 29/44 (65.9%) blood or urine samples isolated pathogenic bacteria, of which 27/29 (93.1%) were gram-negative bacteria, the most common bacteria being Escherichia Coli. 18/29 (62.07%). The rate of resistance to carbapenem antibiotics is 0-11.1%, aminoglycosisde is 3.7-14.8%. The hospital mortality rate of patients with urosepsis was 5/44 (11.36%). Conclusion: The majority of urosepis patients entered the emergency department in shock. 65.9% of blood and urine samples isolated pathogenic bacteria, mainly Escherichia Coli, which were sensitive to carbapenem and aminoglycoside antibiotics. The in-hospital mortality rate of urosepsis patients was 11.36%.
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Keywords
sepsis, urosepsis, septic shock, urinary tract infection, percutaneous pyelonephritis
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