Septic shock in the intensive care unit of a multidisciplinary hospital

The objective of the study was to assess the prevalence, etiology, and outcomes of intensive care in patients with septic shock in the ICU of a multidisciplinary hospital.Materials and methods. A single-center, retrospective, cohort study was conducted involving 398 patients with septic shock who we...

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Main Authors: L. L. Plotkin, V. A. Artamonov
Format: Article
Language:Russian
Published: New Terra Publishing House 2024-12-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/1106
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author L. L. Plotkin
V. A. Artamonov
author_facet L. L. Plotkin
V. A. Artamonov
author_sort L. L. Plotkin
collection DOAJ
description The objective of the study was to assess the prevalence, etiology, and outcomes of intensive care in patients with septic shock in the ICU of a multidisciplinary hospital.Materials and methods. A single-center, retrospective, cohort study was conducted involving 398 patients with septic shock who were hospitalized in the ICU over a one-year period. Diagnosis of septic shock, as well as a complex of intensive care, were carried out according to the criteria proposed by the recommendations of the Surviving sepsis campaign (2021). Antibacterial therapy was prescribed based on the Guidelines «Diagnosis and antimicrobial therapy of infections caused by multidrug-resistant strains of microorganisms» (2022)Results. The proportion of patients with septic shock was 7.4% of the entire population hospitalized in the ICU. The hospital mortality rate was 25%. The dominant loci of infection in patients with septic shock were the abdominal cavity (33%) and lungs (32.4%). The microbial landscape was dominated by gram-negative flora (66%), among which in 35% of cases, Klebsiella pneumoniae was characterized by resistance to the antibacterial drugs used. Combined antibacterial therapy was received by 84% of patients.
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series Вестник анестезиологии и реаниматологии
spelling doaj-art-0849ecdf8f344e6ab09cfd464ea3bee72025-08-20T03:18:55ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532024-12-01216515610.24884/2078-5658-2024-21-6-51-56723Septic shock in the intensive care unit of a multidisciplinary hospitalL. L. Plotkin0V. A. Artamonov1Chelyabinsk Regional Clinical HospitalChelyabinsk Regional Clinical HospitalThe objective of the study was to assess the prevalence, etiology, and outcomes of intensive care in patients with septic shock in the ICU of a multidisciplinary hospital.Materials and methods. A single-center, retrospective, cohort study was conducted involving 398 patients with septic shock who were hospitalized in the ICU over a one-year period. Diagnosis of septic shock, as well as a complex of intensive care, were carried out according to the criteria proposed by the recommendations of the Surviving sepsis campaign (2021). Antibacterial therapy was prescribed based on the Guidelines «Diagnosis and antimicrobial therapy of infections caused by multidrug-resistant strains of microorganisms» (2022)Results. The proportion of patients with septic shock was 7.4% of the entire population hospitalized in the ICU. The hospital mortality rate was 25%. The dominant loci of infection in patients with septic shock were the abdominal cavity (33%) and lungs (32.4%). The microbial landscape was dominated by gram-negative flora (66%), among which in 35% of cases, Klebsiella pneumoniae was characterized by resistance to the antibacterial drugs used. Combined antibacterial therapy was received by 84% of patients.https://www.vair-journal.com/jour/article/view/1106icuseptic shockantibacterial therapy
spellingShingle L. L. Plotkin
V. A. Artamonov
Septic shock in the intensive care unit of a multidisciplinary hospital
Вестник анестезиологии и реаниматологии
icu
septic shock
antibacterial therapy
title Septic shock in the intensive care unit of a multidisciplinary hospital
title_full Septic shock in the intensive care unit of a multidisciplinary hospital
title_fullStr Septic shock in the intensive care unit of a multidisciplinary hospital
title_full_unstemmed Septic shock in the intensive care unit of a multidisciplinary hospital
title_short Septic shock in the intensive care unit of a multidisciplinary hospital
title_sort septic shock in the intensive care unit of a multidisciplinary hospital
topic icu
septic shock
antibacterial therapy
url https://www.vair-journal.com/jour/article/view/1106
work_keys_str_mv AT llplotkin septicshockintheintensivecareunitofamultidisciplinaryhospital
AT vaartamonov septicshockintheintensivecareunitofamultidisciplinaryhospital