CAUSAS FRECUENTES DE SEPSIS EN PACIENTES ADULTOS DEL SERVICIO DE URGENCIAS DEL HOSPITAL GENERAL DE ZONA No.8 GILBERTO FLORES IZQUIERDO DEL INSTITUTO MEXICANO DEL SEGURO SOCIAL

Abstract

This study was conducted with the objective of determining the causes most frequently associated with sepsis in adult patients, in the emergency department of Hospital General de Zona No 8 identified with this diagnosis, regardless of age or underlying pathologies. It is an observational, transversal, descriptive The universe were all patients hospitalized in the Emergency Department of Hospital General de Zona No 8, with the diagnosis of sepsis, in the period from August to November 2010, who signed informed consent . Was used as an instrument for measuring a record sheet which included the name, age, gender, comorbidities, source of infection and antimicrobial documented or suspected employee. Were included in the study were 110 patients diagnosed with sepsis, of whom 44 were males and 66 females, were found as foci of infection in order of frequency: urinary tract infection first, followed by respiratory tract infection, infection soft tissue, gastrointestinal infection and neuroinfection. The urinary and respiratory infections are most commonly associated with sepsis, as initially planned, but the reasons were subsequent soft tissue infection, followed by gastrointestinal infections and finally neuroinfection. The most common comorbidities were found Type 2 Diabetes Mellitus, Systemic Hypertension and Chronic Obstructive Pulmonary Disease, and most commonly used antibiotics: ciprofloxacin, cefotaxime and trimethoprim-sulfamethoxazole. Clinical evidence suggests an association between Type 2 Diabetes Mellitus with urinary tract infections and thus, with increased use of ciprofloxacin as the antibiotic of choice in such cases.