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Related Experiment Videos

Sepsis in children.

K Oda1, Y Matsuo, K Nagai

  • 1Department of Pediatrics and Child Health, Kurume University School of Medicine, Fukuoka, Japan. tsumura@ha.bekkoame.ne.jp

Pediatrics International : Official Journal of the Japan Pediatric Society
|November 4, 2000
PubMed
Summary

Pediatric sepsis is a significant concern, with most cases occurring in hospitalized children with underlying conditions. Gram-positive bacteria, particularly Staphylococcus aureus, were common, but Gram-negative sepsis showed higher mortality rates.

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Area of Science:

  • Pediatric infectious diseases
  • Clinical microbiology
  • Hospital epidemiology

Background:

  • Sepsis poses a significant mortality risk to children.
  • Approximately 2% of all hospitalized patients at the institution experienced sepsis.
  • The study focused on analyzing sepsis episodes within the ward.

Purpose of the Study:

  • To analyze the characteristics and outcomes of sepsis episodes in hospitalized children.
  • To identify common causative agents and risk factors associated with pediatric sepsis.
  • To understand the impact of underlying diseases and specific pathogens on sepsis mortality.

Main Methods:

  • Retrospective review and analysis of sepsis cases from January 1984 to December 1998.
  • Inclusion of 366 sepsis episodes in 244 admitted pediatric patients.

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  • Identification of causative agents, underlying diseases, and complications.
  • Main Results:

    • Sepsis occurred in approximately 2% of hospitalized patients, with 43% of cases in children under 1 year old.
    • Eighty-seven percent of patients had underlying diseases, most commonly hematologic disorders or neoplasms.
    • Gram-positive bacteria (68%) were the most frequent causative agents, with Staphylococcus aureus being the most common organism; however, Gram-negative sepsis had higher mortality.

    Conclusions:

    • Nearly 20% of septic pediatric patients were under 1 year of age, and 90% had underlying diseases.
    • The specific causative agents of sepsis significantly influenced patient outcomes.
    • Hospital-acquired sepsis was prevalent, highlighting the need for infection control measures.