NGHIÊN CỨU MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN NHIỄM KHUẨN HUYẾT DO VI KHUẨN GRAM ÂM TẠI BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP GIAI ĐOẠN 2018 - 2020

Abstract

Objective: To investigate some clinical and subclinical characteristics of septic patients treated at Viet Tiep Friendship Hospital. Subjects and Methods: A prospective, observation study was conducted on 99 sepsis patients caused by Gram-negative bacteria among 105 patients diagnosed with sepsis at Viettiep Friendship Hospital from 2018 to 2020. Results: Mean age was 66,2 ± 16,6.  Bacterial pathways into blood inclus digestive, respiratory, and urinary tracts is 47,4%, 16,2%, and 10,1%, respectively. High fever (> 38^oC) accounted for 74,8%; chill rate was 69,7%. The white blood cell count was 15,4±10,8 G/L. Pro-calcitonin concentration (median, interquartile range) was 30,1 (6,4-70,0) ng/ml, and blood lactate (median, interquartile range) was 2,0 (0-5,8) mmol/l; the rate of E.coli was 40,4%, and K.pneumoniae was 27,3%. Conclusions: The entrance routes of bacteria were mainly digestive and respiratory; blood leukocytes increased; E.coli and Pneumoniae were two pathogens with high rates.