[Clinical course and etiologic factors of sepsis in children from different age groups]

D Chlebna-Sokół1, J P Sikora, T Bujnowski

  • 1Klinika Propedeutyki Pediatrii Instytutu Pediatrii AM w Łodzi.

Insights

Pediatric sepsis is often caused by Staphylococcus epidermidis in neonates and Neisseria meningitidis in older children. Disease severity in children correlates with elevated white blood cells and liver enzymes.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Clinical Microbiology

Context:

  • Sepsis is a life-threatening condition in children, requiring understanding of causative agents and disease progression.
  • This study analyzed pediatric sepsis cases at the Institute of Pediatrics, Medical University of Łódź between 1995-1998.

Purpose:

  • To identify the etiological factors of sepsis in children.
  • To analyze the clinical course and identify factors correlating with sepsis severity in pediatric patients.

Summary:

  • Staphylococcus epidermidis was the most common pathogen in neonates, while Neisseria meningitidis predominated in infants and children over one year.
  • Candida species accounted for 25% of infant sepsis cases.
  • Increased leucocytosis, left shift in white blood cell profile, and elevated bilirubin and transaminases (especially GOT) significantly correlated with disease severity.

Impact:

  • Findings aid in early diagnosis and management of pediatric sepsis.
  • Highlights the importance of pathogen identification for targeted treatment.
  • Provides insights into clinical markers for predicting sepsis severity in children.

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