medigraphic.com
SPANISH

Medicina Interna de México

Colegio de Medicina Interna de México.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2025, Number 01

<< Back Next >>

Med Int Mex 2025; 41 (01)

Epidemiology of sepsis in a specialized intensive care unit for traumatized adults

Sosa MMA, López MCE
Full text How to cite this article

Language: Spanish
References: 9
Page: 10-16
PDF size: 320.55 Kb.


Key words:

Sepsis, Septic Shock, Trauma.

ABSTRACT

Objective: To report the epidemiology of sepsis in the intensive care unit of trauma.
Materials and Methods: A prospective, observational, non-interventional, cross-sectional, epidemiological prevalence study was done at Intensive Care Unit of Traumatology and Orthopedics Hospital 21, IMSS, Monterrey, Nuevo Leon. Results: Seventy patients were admitted to the Intensive Care Unit, from which 57 were male. The median age was 41 years (limits: 18 to 77 years). The most frequent admission diagnoses were: burns (19 out of 70), traumatic brain injury (14/70), and polytrauma (12/70). Forty patients developed sepsis. Bacterial agents accounted for 92%. Acinetobacter baumannii (24/70) was the most common, followed by Klebsiella pneumoniae (21/70) and Pseudomonas aeruginosa (15/70). The most frequent sites of infection were: respiratory (50/70), surgical wound (19/70), and abdominal (5/70).
Conclusions: The epidemiology of sepsis in the trauma intensive care unit was similar to that found in other studies.


REFERENCES

  1. Gorordo LA, Merinos G, Estrada R, Medveczky N, et al.Sepsis and septic shock in emergency departments ofMexico: a multicenter point prevalence study. Gac MedMex 2020; 156: 486-492. doi: 10.24875/GMM.M21000492

  2. Singer M, Deutschman C, Seymur C, Shankar-Hari M, etal. The third international consensus definitions for sepsisand septic shock (sepsis-3). JAMA 2016; 315: 801-810. doi:10.1001/jama.2016.0287

  3. Markwart R, Saito H, Harder T, Tomczyk S, et al. Epidemiologyand burden of sepsis acquired in hospitals and intensivecare units: a systematic review and meta-analysis. IntensiveCare Med 2020; 46: 1536-1551 https://doi.org/10.1007/s00134-020-06106-2

  4. Sakr Y, Jaschinski U, Wittebole X, Szakmany T, et al. Sepsisin intensive care unit patients: worldwide data from theintensive care over nations audit. Open Forum Infect Dis2018; 5 (12): ofy313. https://doi. org/10.1093/ofd/ofy313

  5. Rhee C, Dantes R, Epstein L, Murphy DJ, et al. Incidenceand trends of sepsis in US hospitals using clinical vs claimsdata, 2009-2014. JAMA 2017; 318 (13): 1241-1249. https://doi.org/10.1001/jama.2017.13836

  6. Fleischmann-Struzek C, Goldfarb DM, Schlattmann P, etal. The global burden of paediatric and neonatal sepsis: asystematic review. Lancet Respir Med 2018; 6 (3): 223-230.https://doi.org/10.1016/s2213-2600(18)30063-8

  7. Julian A, Supino M, Lopez J, Ulloa C, et al. Puntos clave ycontroversias sobre la sepsis en los servicios de urgencias:propuestas de mejora para Latinoamérica. Emergencias2019; 31: 123-135.

  8. Santillan J, Sanchez L, Duarte P. Caracterización de la sepsisen la Unidad de Cuidados Intensivos Central del HospitalGeneral de México. Rev Med Hosp Gen Méx 2013; 76 (4):181-186.

  9. Boehm D, Menke H. Sepsis in burns-lessons learnt from developmentsin the management of septic shock. Medicina(Kaunas) 2021; 58 (1): 26. doi: 10.3390/medicina58010026




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Med Int Mex. 2025;41