儿科学与治疗
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班加西儿童医院败血症的诊断、治疗和结果（1 年回顾）

Halima Mohamed Benamer、Amira Alajili Alsaiti、Mabroka Bofarraj、Huda Abud 和 Rania M Tip

背景：脓毒症是对感染的全身炎症反应，它包括一系列由感染引起的疾病。

目的：说明我们当地败血症的经验。

患者：班加西儿童医院收治的所有确诊为败血症的患者（年龄超过1个月）。

坐诊：除托儿所外，医院所有医疗科室。

学习时间： 2013年1月至12月。

研究设计：回顾性观察研究。

方法：从录取档案中收集数据并进行分析。

结果： Total number of patients included was 58, 42 (72%) patients fulfilled the diagnostic criteria for sepsis and 16 (28%) wasn’t. We studied the 42 patients who diagnosis of sepsis justified, 52% were males and 48% were females. Duration of admissions ranges from 5 to 34 days with a mean of 11 days. Age distribution showed that 54% of cases were 6 months or less and 76% of patients below one year. There were seasonal variation in admissions 40% of admissions in winter, 31% in spring, 20% autumn and 9% in summer. Most common complaints were fever (88%), cough (38%), diarrhea (35%), and vomiting (28%). The most common causative organism according to blood culture results were streptococci (47%) then E. coli (26%). 5 patients (12%) diagnosis was sepsis without clear underlying cause and 37 (88%) with defining cause, the most common presentation was pneumonia and gastroenteritis (19%) each. 64% of patients received a combination of antibiotics. 7 patients (17%) died.

结论和建议：我们接受脓毒症治疗的患者中有 28% 不符合脓毒症的诊断标准。总体结果是中等的。但不可靠的血培养结果使我们的患者面临联合抗生素治疗增加副作用和耐药性的风险。我们建议应用脓毒症诊断标准并限制抗生素组合的过度使用。