进入第三级护理中心重症监护病房的成年人感染败血症
Kundu Shrestha1, Sagun Ram Vaidya2, Keny Shrestha3
1Department of Anesthesiology and Critical Care, Nepal Armed Police Force Hospital, Balambu, Kathmandu, Nepal.
JNMA; journal of the Nepal Medical Association
|February 27, 2024
概括
败血症影响了尼泊尔近38%的成人重症监护病房患者,比国际上报告的更高的患病率. 了解败血症患病率对于改善低收入环境中的重症监护结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 传染病 流行病学 流行病学
背景情况:
- 败血症是一个危及生命的全球健康问题,特别是在重症患者中.
- 虽然高收入国家记录了败血症流行病学,但尼泊尔等低收入和中等收入国家的数据很少.
- 这项研究解决了关于尼泊尔重症监护病房中败血症患病率的知识差距.
研究的目的:
- 为了确定进入尼泊尔第三级护理中心重症监护病房的成年患者中败血症的患病率.
- 提供必要的流行病学数据,在低资源环境下对败血症.
主要方法:
- 进行了一项描述性的横截面研究.
- 数据是从2022年1月11日至2022年12月29日期间的成人重症监护室患者记录中收集的.
- 采用了方便抽样方法,使用95%置信区间计算了患病率.
主要成果:
- 该研究包括195名成年患者,败血症的患病率为37.95% (95%CI:31.14-44.76).
- 败血症患者的平均年龄为44岁,54.05%是男性.
- 在败血症患者中,37.84%有两种或更多的诊断,12.16%有两种或更多的并发症.
结论:
- 在尼泊尔的重症监护室中,败血症的患病率明显高于许多国际研究中观察到的.
- 这些发现凸显了低收入国家中重症监护机构中败血症的重大负担.
- 进一步的研究和有针对性的干预措施是有必要的,以解决尼泊尔的败血症.
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