THE NOSOCOMIAL SEPSIS AT THE PATIENTS FROM THE INTENSIVE CARE UNIT
Abstract:
The sepsis is a systemic inflammatory response resulting from the inability of the immune
system to limit bacterial invasion after the onset of the infection. We conducted a study over a period of
4 years and 9 months in an intensive care unit of an emergency clinical county hospital to identify the
frequency and aetiology of the nosocomial sepsis. The case definition for the selection of the patients
was adapted according to the definition of the nosocomial septicaemia proven etiologically by
laboratory testing of CDC Atlanta. The population at risk was composed of patients who had been
hospitalized in ATI with the duration of at least 48 hours. We identified a total of 30 episodes of
nosocomial sepsis cases with positive blood cultures, from a total of 3297 patients hospitalized in the
range indicated, representing an incidence of 9.1%o. Of these, 23 cases were mono-etiologic and 7 – bietiologic
(2 microbial species). We found that the isolated bacterial strains present in a significant
percentage, resistance to antibacterial agents, which raises problems because of the treatment
limitations and of the failures in the clinical course of cases.
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