SEVERITY AND PREDICTED OUTCOME OF POSTOPERATIVE PSEUDOMONAS-AERUGINOSA INFECTIONS

被引：1

作者：

KODAMA, T

YOKOYAMA, T

TAKESUE, Y

OKITA, H

NAKAMITSU, A

HIYAMA, E

IMAMURA, Y

SANTO, T

MURAKAMI, Y

TSUMURA, H

SHINBARA, K

MIYAMOTO, K

TATSUMOTO, N

MATSUURA, Y

机构：

[1] First Department of Surgery, Hiroshima University School of Medicine, Hiroshima, 734, 1-2-3 Kasumi, Minami-ku

[2] Department of General Medicine, Hiroshima University School of Medicine, Hiroshima, 734, 1-2-3 Kasumi, Minami-ku

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1995年 / 25卷 / 08期

关键词：

POSTOPERATIVE INFECTION; PSEUDOMONAS AERUGINOSA; SEVERITY OF ILLNESS; PREDICTION OF OUTCOME; SEVERITY SCORE;

D O I：

10.1007/BF00311481

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The severity and predicted outcome of postoperative Pseudomonas aeruginosa (P. aeruginosa) infections (PPAI) was evaluated using a severity scoring system based on a simplification and modification of the APACHE II system. A total of 86 patients in whom P. aeruginosa was isolated from various sources were examined. PPAI developed in 50 patients, resulting in an overall mortality rate of 24%. An increased severity score (SS) correlated with an increased risk of developing PPAI. Thus, PPAI developed in 33% of the patients with an SS of 0-1, in 66.7% of those with an SS of 2-3, and in 100% of those with an SS of 6 or higher. Moreover, the mortality rate of the patients with an initial score of 6 or higher was 50%. The mean (+/- SD) initial severity score was 5.4 +/- 2.9 for survivors and 2.9 +/- 2.6 for nonsurvivors (P < 0.01). In the patients who subsequently died, the SS remained high throughout the clinical course despite therapy, whereas in the survivors the SS decreased progressively, reflecting a favorable clinical course. These results suggest that our severity scoring system was useful for predicting outcome and monitoring the response of PPAI to therapy.

引用

页码：672 / 678

页数：7

共 22 条

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