| Severe sepsis in Poland--results of internet surveillance of 1043 cases. | |
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MedLine Citation:
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PMID: 15507856 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Severe sepsis is a clinical syndrome frequently occurring in intensive care units (ICUs) when systemic infection results in multiorgan dysfunction. No Polish data concerning treatment and prognosis in this group of patients have been available to date. MATERIAL/METHODS: The Polish Working Group for Sepsis introduced in 2003 internet registration of severe sepsis cases treated in ICUs in Poland. Information about severe sepsis were entered including the type of infection, clinical course, methods and results of treatment. RESULTS: From 20.04.2003 to 10.01.2004, 1043 severe sepsis cases were reported by 104 ICUs. Mean age of patients was 59 years. Mean duration of treatment was 19 days, with mortality rate of 55%. In 60% dysfunction of 4 or more organs was diagnosed. In 55% the underlying disease was surgical and abdominal cavity was the primary infection site (47%). Pathogens most likely to cause severe sepsis were G- (48%) and G+ (43%) bacteria, as well as fungi (21%). Positive blood culture was obtained in 45% of patients. Treatment involved antibiotic and support of organ function. Activated protein C was used in 8.2%, causing a reduction of mortality. CONCLUSIONS: Severe sepsis in Polish ICUs develops most frequently in the course of intra-abdominal infections. Dysfunction of 4 or more organs caused observed high mortality (55%) Internet surveillance proved to be useful method of collecting information, widely accepted by personnel of ICUs. |
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Authors:
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Andrzej Kübler; Grazyna Durek; Agnieszka Zamirowska; Wiesława Duszyńska; Barbara Pałysińska; Wojciech Gaszyński; Andrzej Pluta |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2004-10-26 |
Journal Detail:
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Title: Medical science monitor : international medical journal of experimental and clinical research Volume: 10 ISSN: 1234-1010 ISO Abbreviation: Med. Sci. Monit. Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2004-11-03 Completed Date: 2005-01-13 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9609063 Medline TA: Med Sci Monit Country: Poland |
Other Details:
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Languages: eng Pagination: CR635-41 Citation Subset: IM |
Affiliation:
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Department of Anaesthesiology and Intensive Therapy, Medical University, Wrocaw, Poland. andrzej.kubler@anest.am.wroc.pl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Intensive Care Units Internet Male Middle Aged Poland Prognosis Systemic Inflammatory Response Syndrome / diagnosis, epidemiology*, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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