DOI: 10.1097/01.ccm.0000474930.25645.ff
,
Issn Print: 0090-3493
Publication Date: 2015/12/01
Facebook
Twitter
LinkedIn
Email
 |
Checking for direct PDF access through Ovid | |
Excerpt
Methods: 100 patient charts with the diagnosis of sepsis were obtained during the period of February to March of 2015. The data were analyzed between survivors and non-survivors which included patients who died or went to hospice. Organism identification, peak white blood cell count and peak bandemia were also used to categorize patients.
Results: Of those evaluated,72% of patients survived to discharge and an organism was able to be identified in 42%. E. Coli (20%), MSSA (13%), and Flu (10%) were the top 3 most common organisms. In survivors, peak WBC was 15.1 and peak bandemia was at 14%. In the non-survivor group (death & hospice), organisms were identified in 64% of the cases with peak WBC at 29.9 and peak bandemia at 21%. The 3 most common organisms in the non-surviving group included E. coli (22%), MSSA (22%), and Klebsiella (11%). Of note, 3 patients had polymicrobial organisms and all were in the non-surviving group. In total, 19 different organisms were identified.
Conclusions: Organisms were more commonly identified in the non-surviving group. The non-surviving patients also had higher WBC and bandemia raising the question of whether or not individuals some of the less ill patients in the surviving group were actually septic if an organism was not identified. Although patients with polymicrobial disease were only in the non-surviving group, there was minimal difference in the identification of E. Coli and MSSA as the most common organism causing disease.
