EEpidemiology of sepsis in Colombian intensive care units
Guillermo Ortíz, Carmelo Dueñas, Ferney Rodríguez, Lena Barrera, Gisela de La Rosa, Rodolfo Dennis, Marcela Granados, Darío Londoño, Francisco Molina, Fabián Jaimes, .
Abstract
Introduction: Currently, there is not enough data available concerning sepsis in developing countries, especially in Latin America.
Objective: We developed a study aimed at determining the frequency, clinical and epidemiological characteristics, and the consequences of sepsis in patients requiring admission to intensive care units in Colombia.
Materials and methods: This was a secondary analysis of a prospective cohort study carried out over a six-month period, from September 1, 2007, to February 28, 2008, in ten medical/surgical intensive care units in four Colombian cities. Patients were considered eligible if they had a probable or confirmed diagnosis of infection according to medical records. We recorded demographic characteristics, first admission diagnosis and co-morbidities, clinical status, and sepsis, severe sepsis or septic shock.
Results: During the study period, 826 patients were admitted to the intensive care units. From these patients, 421 (51%) developed sepsis in the community, 361 (44%) in the ICU, and 44 (5%) during hospitalization in the general ward. Two hundred and fifty three patients (30.6%) had involvement of one organ system: 20% had respiratory involvement, followed by kidney and central nervous system involvement with 3.4% and 2.7%, respectively.
Conclusions: In our cohort of septic patients, the prevalence of sepsis treated in ICU is similar to that reported in other studies, as well as the overall mortality.
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- Guillermo Ortíz Departamento de Cuidado Intensivo, Hospital Santa Clara, Bogotá, D.C., Colombia
- Carmelo Dueñas Departamento de Cuidado Intensivo, Hospital Bocagrande, Cartagena, Colombia
- Ferney Rodríguez Departamento de Medicina Interna, Universidad de Antioquia, Medellín, Colombia
- Lena Barrera Departamento de Epidemiología, Universidad del Valle, Cali, Colombia
- Gisela de La Rosa Departamento de Cuidado Intensivo, Hospital Pablo Tobón Uribe, Medellín, Colombia
- Rodolfo Dennis Departamento de Medicina Interna, Fundación Cardio-Infantil, Bogotá, D.C., Colombia
- Marcela Granados Departamento de Cuidado Intensivo, Fundación Valle de Lili, Cali, Colombia
- Darío Londoño Departamento de Cuidado Intensivo, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia
- Francisco Molina Departamento de Cuidado Intensivo, Universidad Pontificia Bolivariana, Medellín, Colombia
- Fabián Jaimes Departamento de Cuidado Intensivo, Universidad de Antioquia, Medellín, Colombia
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