COMPORTAMIENTO CLÍNICO Y EPIDEMIOLÓGICO DE SEPSIS COMUNITARIA EN PACIENTES INGRESADOS EN LA UNIDAD DE CUIDADOS INTENSIVOS PEDIÁTRICOS DEL HOSPITAL PROVINCIAL VERDI CEVALLOS BALDA DE LA CIUDAD DE PORTOVIEJO DE OCTUBRE DE 2009 A OCTUBRE DE 2010

Abstract

Sepsis is an international sanitary problem which is found in emerging and developed countries. We could assume that the epidemiology of sepsis has changed. These changes would involve predisposing factors, therapeutic regimes, antibiotic resistance, microbial etiology, among others. However, there are not many study cases developed around this disease. In this sense, we can only infer about the epidemiologic behavior of sepsis, but we cannot determine if sepsis has really changed. Sepsis is a clinical entity with high levels of morbidity. In these sense sepsis is considered one of the most important causes of child mortality, with more than 42,000 cases of sepsis in the Unites States of America and millions of cases in the rest of the world. In fact, half of the children with sepsis in the US are infants. For this academic work, we have made a transversal and retrospective study of the epidemiologic behavior of sepsis in the patients that have been diagnosed with this disease, in the Pediatric Intensive Care Unit of “Verdi Cevallos Balda General Hospital,” during the period of time that goes from October 2009 to October 2010. The universe of this study is 17 patients which have been diagnosed with this disease. Several epidemiologic and clinical variables have been considered for this study depending on the review of each patient’s medical history. The range of age of children that have been mostly affected by this disease goes from1 month to four years. Bacterial Septic Shock was the most frequent medical diagnosis in the study group. Aureus Staphylococcus was the most frequent isolated germ found in the study group. The most relevant origin of infection is respiratory. Undernourishment is the most important risk factor for patients with this disease. The hospitalization average time for these patients is 7.7 days. 11 out of the 17 patients, died from sepsis. This corresponds to a rate of mortality of 64,7%. 9 out if the 11 dead patients died from Septic Shock.