[Cooperation between the urologist and microbiologist in the diagnosis and treatment of sepsis. I. Predisposing factors and sources of sepsis in patients with urologic diseases].
The most important source of septicemia caused by Gram-negative microorganisms, which has an ever rising trend, is the urogenital tract. The majority of these sepsis is of nosocomial origin (74%). At the Urological Clinic of the Faculty Hospital in Hradec Králové during 1984-1987 sepsis, based on a positive haemoculture, was diagnosed in 52 patients. During the investigation period the number of sepsis almost trebled. The most frequent predisposing factor was obstruction of the urinary pathways concomitant infection (41X) and instrumental procedures (25X). In the majority several factors were involved simultaneously. Septic disease occurred in particular in patients with the basic diagnosis of a malignant disease (36%) and in obstructive pyelonephritis (23%). Its incidence was significantly more frequent in more advanced age groups. In 63% it was urosepsis, in 8% the source was a cannula in the subclavian vein and in the remainder it did not prove possible to reveal the source of septicaemia.
Morávek
P
P
Urologická klinika FN, Hradec Králové.
Morávková
M
M
Lonská
V
V
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001419:Bacteria / Q000302:isolation & purification; D001424:Bacterial Infections / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology*; D001431:Bacteriological Techniques; D003428:Cross Infection / Q000209:etiology / Q000382:microbiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D014570:Urologic Diseases / Q000150:complications* / Q000382:microbiology / Q000628:therapy
Spolupráce urologa a mikrobiologa v diagnostice a lécení sepse. I--predisponující faktory a zdroje sepse u urologických nemocných.