KẾT QUẢ ĐIỀU TRỊ SỐC NHIỄM KHUẨN ĐƯỜNG VÀO TỪ HỆ TIẾT NIỆU TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

The purpose of this study is to evaluate the outcomes of treatment for uroseptic shock at Ha Noi Medical University Hospital. The study included 26 patients with an average age of 63.7 ± 13.7 years, the majority being female at 65.4%. SOFA scores, APACHEII scores and blood lactat at admission were 7.4 ± 2.5, 16.4 ± 4.2 and 4.0 ± 3.1mmol/l, respectively. There were 14 patients (53.8%) with urinary tract obstruction, of which ureteral stones were the most common cause (38.5%). The positive urine and blood culture rates were 61.5% and 69.2%. E. coli was the most common bacteria with urine and blood culture rates of 38.5% and 50%. 50% of patients were initially treated with 1 antibiotic and 50% of patients with 2 antibiotics. The response rate to initially antibiotics in these 2 groups were 92.3% and 84.6%. Of the 14 patients with obstructive urinary tract, 9 patients (34.6%) received percutaneous renal pelvis dranage, 4 patients (15.4%) were placed JJ stent and 1 patient (3.8%) required nephrectomy. The average hospital stay was 19.0 ± 15.7 days with a mortality rate of 7.7%. Thus, uroseptic shock is a severe condition with a high mortality.