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Updated: Jun 26, 2026

A Controlled Mouse Model for Neonatal Polymicrobial Sepsis
Published on: January 27, 2019
[Mortality rates in pediatric septic shock secondary to community-acquired infection: about 70 cases]
1Service de réanimation pédiatrique polyvalente, hôpital d'enfants de Tunis, place Bab-Saadoun-Jebbari, Tunis, Tunisie. menifk@yahoo.fr
Insights
The mortality rate for pediatric septic shock from community-acquired infections was 45.7%. Key risk factors for mortality included multiple organ failure, high fluid resuscitation volumes, and extensive vasoactive drug use.
Area of Science:
- Pediatric critical care medicine
- Infectious diseases
- Epidemiology
Context:
- Septic shock in children is a life-threatening condition.
- Community-acquired infections are a common cause of pediatric sepsis.
- Understanding mortality factors is crucial for improving outcomes.
Purpose:
- To determine the mortality rate in children with septic shock due to community-acquired infections.
- To identify independent risk factors associated with mortality in this population.
Summary:
- A retrospective analysis of 70 pediatric patients admitted to the ICU for septic shock revealed a mortality rate of 45.7%.
- Multivisceral failure, significant fluid resuscitation on day two, and the need for multiple vasoactive drugs were identified as independent predictors of mortality.
- The average age was 3.8 years, with a high incidence of multivisceral failure (98.6%).
Impact:
- Identifies critical risk factors to guide clinical management and resource allocation.
- Highlights the severity of pediatric septic shock and the need for timely and aggressive intervention.
- Provides data to inform guidelines for the treatment of pediatric septic shock.
Goal:
This study had for aim to determine the mortality rate and the factors affecting mortality among 70 children admitted for septic shock secondary to a community acquired infection.
Patients And Methods:
A retrospective analysis was made of patients admitted between January 1998 and August 2005, in a pediatric ICU for septic shock secondary to a community-acquired infection. Neonates under 7 days of age were excluded from the study.
Results:
Seventy cases were included and 32 (45.7 %) of them died. Their average age was 3.8+/-4.2 years and their PRISM during the first 24 hours was 19.2+/-8.4. Sixty-nine children (98.6 %) presented with multivisceral failure and 60 (85.7 %) with more than two deficient organs. The average time between the observation of first hemodynamic disorders and admission to ICU was 9.4+/-11.3 hours. Three independent mortality risk factors were identified: failure of more than two organs on admission (OR, 4.4; 95 % CI [2.1-9.4]), an infusion volume superior to 20ml/kg on the second day of resuscitation (OR, 3.4; 95 CI % [1.1-10.3]), and the use of more than two vasoactive drugs (OR, 3.3; 95 CI % [1.2-9]).
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