Some clinical features on the epidemiology, clinical and microorganism of the gram-negative septicemia
- Author:
Thao Thu Le
- Publication Type:Journal Article
- Keywords:
septicemia
- MeSH:
Septicemia
- From:Journal of Practical Medicine
2000;383(6):6-11
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
146 cases of severe sepsis due to gram negative microbials in adult with average age of 54.14. The incidence of community infections(95.2% vs 4.8%). The mortality in general group is 46.6% and in shock group is 72.1%. Many criteria for determining the poor prognosis are: (1) Salmonella spp, Pseudomonas spp, (2) underlying diseases such as HIV/AIDS, Cushing syndrom, (3) Complications (septic shock, acute renal failure and DIC). Effective antibiotic groups to almost Gr(-) organismes include: Cephalosporin III, Oflocet, Amikacin and Netilmicin. The combination of an Aminoglycoside and a Cephalosporin III (or Oflocet or Imipenem) for empirical treatment is usually appropriate.