Septic shock at uroinfections
Authors:
prof. MUDr. Pavel Ševčík, CSc.; prim. MUDr. Alena Ševčíková
Authors‘ workplace:
Oddělení klinické mikrobiologieLF MU a FN Brno
; Anesteziologicko-resuscitační klinika LF MU a FN u sv. Anny v Brně
Published in:
Urol List 2005; 3(2): 66-70
Overview
Complicated infections of urinary tract, especially pyelonephritis, are relatively fre-quent cause of severe sepsis and septic shock in critical patients [1,2,3]. At Intensive care unite (ICU), the infections of urinary tract are most frequently of nosocomial origin. In often quoted prevalence study EPIC made in 1992, at 1417 Intensive care unite (ICU) in western Europe, the nosocomial infections were stated at 30,3 % of patients, while nosocomial infections of urinary tract occured at 17,6 % of them - they ranked third position after nosocomial pneumonias (46,9 %) and infections of lower respiratory tract (17,8 %) [4]. Nosocomial infections of urinary tract most frequently hang together with the use of urine drainage devices, most often with bladder catheterization. Up to 95 % of cases of nosocomial urinary infections occur in catheterized patients. In intensive care, depending on the type of department, there are 45-86 % of patients catheterized [5]. At our department, providing the highest type of intensive care, urinary catheter is inserted in almost 100% of patients. The incidence of urine infections in catheterized patients range between 3,3 ‰ of catheterization days at cardiosur-gical IMW and 10 ‰ of catheterization days at burn wards [6]. Urine infections are significant source of bacteriemia and they may contribute to deterioration of renal functions. They prolong the hospitalization in average for 1-4 days and they increase treatment costs [1,7].
KEY WORDS:
sepsis, severe sepsis, septic shock, urosepsis, SIRS
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Labels
Paediatric urologist UrologyArticle was published in
Urological Journal
2005 Issue 2
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