Abstract

BEMBIBRE TABOADA, Rubén  and  JIMENEZ, Carlos Jorge. Paciente quirúrgico séptico en terapia intensiva. Rev Cubana Cir [online]. 1997, vol.36, n.2, pp. 116-120. ISSN 1561-2945.

A one year-period study of 121 surgical septic patients admitted to the Intensive Care Unit of "Dr. Gustavo Aldereguía Lima" Clinicosurgical Provincial Hospital was carried out by the application of computerized methods for data processing and the application of statistical significance tests. Average age of the series was 40.4 for alive subjects, and 47.35 for deceased subjects; the greatest lethality rate corresponded to haemorrhagic pancreatitis (80) and to gastroduodenal surgery (45.5). In 41.32 % the diagnosis was based on physical examination and abdominal ultrasound. There was a frank increase of unfavourable evolution as the number of surgical procedures increased. Germs most frequently found were Klebsiella pneumonia, E. coli, Pseudomona aeruginosa and Proteus mirabilis. Antibiotics most frequently used were metronidazole, penicillins, and aminoglycosides. An incidence of 8.2 for multiple organ failure is highlithed with a 100 % of lethality and predominance of a favourable evolution in 84 patients and 37 who died

Keywords : INTENSIVE CARE UNITS; POSTOPERATIVE COMPLICATIONS [drug therapy]; SEPTICEMIA [drug therapy]; ANTIBIOTICS [therapeutic use]; INTESTINE LARGE [surgery]; PANCREATITIS [surgery]; DUODENUN [surgery]; STOMACH [surgery]; KLEBSIELLA PNEUMONIAE [isolation & purification]; PSEUDOMONAS AERUGINOSA [isolation & purification]; PROTEUS MIRABILIS [isolation & purification]; ESCHERICHIA COLI [isolation & purification]; SURGERY OPERATIVE.