Incidência de sepse em pacientes hospitalizados em centro de terapia intensiva adulto em um hospital no sul de Santa Catarina, 2009-2015

• Autor(a) principal: Souza, Everson da Silva
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Título da fonte: Repositório Universitário da Ânima (RUNA)
• Texto Completo: https://repositorio.animaeducacao.com.br/handle/ANIMA/3013
• topic: Sepse; Unidades de terapia intensiva; Incidência

Introduction: Sepsis is a disease with high rates of morbidity and mortality worldwide, especially in relation to late diagnosis, being one of the main reasons for hospitalization in an intensive care unit (ICU). Sepsis is among the leading causes of death with a high lethality rate. Objective: To estimate the incidence of nosocomial sepsis in adults from an ICU of a hospital in Southern Santa Catarina between 2009 and 2015. Methods: Retrospective cohort study. The data was obtained based on a review of the nosocomial infection notification sheets in the adult ICU and patients records, for the definition of sepsis cases in the study period. Results: There were 10,322 patients admitted to the ICU from 2009 to 2015. The incidence rate was 3.6%, which corresponds to 35.6 new cases per 1000 patients. In relation to the infection site, pneumonia (59.7%), urinary tract (28.3%), and surgical procedures (12.0%) were the most prevalent sources. Antibiotic therapy was necessary in 100% of the cases. Of the 367 cases of sepsis, 268 (73.0%) patients died. Conclusion: The incidence rate of nosocomial sepsis was 3.6%, with a reduction from 4.5% in 2009 to 2.3% in 2015. The decrease in incidence may be associated with the development of infection prevention protocols and improved care for patients with sepsis. However, there was a high sepsis-related lethality rate.