Pediatric surgical sepsis: diagnostics and intensive therapy

نویسندگان

چکیده

The aim: Optimization of diagnostics and schemes pathogenetic intensive therapy surgical sepsis in children based on clinical laboratory criteria bacteriological monitoring. Materials methods: research period is 2018-2020. object the study (n=73) – with pathology (widespread peritonitis, bacterial destruction lungs, post-traumatic brain hematomas, abdominal trauma, etc.). Research microbiological monitoring to determine sensitivity microorganism antibiotics was carried out before at stages treatment (sputum, urine, wound, bronchoalveolar lavage, tracheal aspirate, blood, contents from drainages, wound surface). Determination isolated strains by disk-diffusion method. To predictors patients, (mean arterial pressure (mAP), heart rate (HR), respiratory (RR), SpO2, etc. parameters days 1–2 (up 48 hours) identification, 4 8 therapy. Procalcitonin determined immunofluorescence a Triage® MeterPro analyzer (Biosite Diagnostics, USA). Blood gases electrolytes were analyzed using Stat Profile CCX (Nova Biomedical, Results: studies have shown effectiveness complex care 86.3 % cases. Mortality found 13.7 Patients severe died: widespread TBI + coma irreversible neurological disorders, urosepsis against background chronic renal failure, after repeated interventions, due development refractory septic shock (SS). Conclusions. Early diagnosis sepsis, rational early ABT under control monitoring, non-aggressive infusion prescription vasopressors (SS) constant child's main life support organs contribute an improvement outcomes decrease mortality

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ژورنال

عنوان ژورنال: ScienceRise

سال: 2021

ISSN: ['2519-4798', '2519-478X']

DOI: https://doi.org/10.15587/2519-4798.2021.250239