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Sepsis in a department of infectious diseases in a general hospital, Celje, 2000–2003

Abstract number: 903_r1898

Lesnicar G.

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Objectives:

The aim of our study was to establish the incidence of sepsis, and to identify the causes and source of infection in patients treated at the Department of Infectious Diseases and Febrile Conditions of General Hospital Celje in the years 2000–2002.

Methods and results:

In our retrograde study, sepsis was established in 496 (9.3%) of 5316 admitted patients. Our definition of patients with sepsis was based on additional and stricter criteria than those reported in the literature. Thus, the source of sepsis was known in all patients, while the causative agent was proved in 277 (55.8%) of them, of these only in 41 (8.3%) patients it was isolated from haemoculture, while in 236 (47.6%) patients the causative agent was isolated from other infectious cultures. Among the patients with known cause of infection, those with isolated Gram-positive bacteria are prevailing (201 patients, i.e. 62.2%).

Conclusions:

As in Slovenia we still have not reached an agreement on the definition of sepsis, there is a great discrepancy between the number of patients diagnosed with sepsis and the number of patients registered by the Epidemiological Service. According to our relatively strict definition, at least one tenth of all the admissions to our Department are attributable to sepsis, while in the period 2000–2002, only 57 cases were reported to the Epidemiological Service from Celje health region with a population of 220 000, which represents only slightly over 10% of all patients treated for sepsis at our Department. The data reported call for an urgent consensus on definition, reporting and registration of sepsis in our country.

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Session Details

Date: 01/08/2007
Time: 00:00-00:00
Session name: XXIst ISTH Congress
Subject:
Location: Oxford, UK
Presentation type:
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