My SciELO
Services on Demand
Article
Indicators
- Cited by SciELO
Related links
- Similars in SciELO
Share
Revista de Ciencias Médicas de Pinar del Río
On-line version ISSN 1561-3194
Abstract
HERNANDEZ GARCIA, Omar Luis et al. Prognostic factors of mortality in patients with bacteremia admitted to the Intensive Care Unit. Rev Ciencias Médicas [online]. 2021, vol.25, n.1 Epub Feb 01, 2021. ISSN 1561-3194.
Introduction:
the term bacteremia is used to describe an infection characterized by the presence of bacteria in the blood, a phenomenon that is on the rise in intensive care units.
Objective:
to determine the prognostic factors of mortality rate in patients admitted with bacteremia in an Intensive Care Unit.
Methods:
an observational, analytical, and cross-sectional study was conducted at Dr. Carlos Juan Finlay Military Hospital in the period 2017-2019. Demographic, clinical, and epidemiological variables were studied in 130 patients. Descriptive and inferential statistics were used.
Results:
mean age was 61± 16,5 years, with predominance of male sex (53,8 %), parenteral nutrition (58,5 %), mono-microbial bacteremia (68,5 %), and secondary type (59,2 %). The main source was the central venous catheter (57,14 %) and Acinetobacter was isolated in 34,62 % of these patients; 58,5 % presented septic shock and 52,3 % died. In the multivariate analysis, age over ≥ 67 years old (OR= 4,82; CI: 1,32-17,63; p=0,018) and septic shock (OR= 28,2; CI: 7,72-102,96; p ˂ 0.001) were shown as predictors of mortality.
Conclusions:
bacteremia was more frequent in men, mainly in the elderly. The main risk factor was parenteral nutrition, and its main cause is gram-negative. Mono-microbial bacteremias are more frequent. It was determined that age over 65 years and the development of septic shock was predictive factors of mortality.
Keywords : BACTEREMIA; INTENSIVE CARE UNITS; MORTALITY; PROGNOSIS.