title: Patients with sepsis in infectious diseases department in years 1997-2010 - epidemiology and clinical features.
abstract: BACKGROUND
  Sepsis is a clinical syndrome that complicates severe infection. The incidence of sepsis is increasing worldwide. Aim of the study was evaluation of demographic data and clinical picture of patients hospitalized in Infectious Diseases Ward with a diagnosis of sepsis and severe sepsis. MATERIAL AND METHODS The retrospective study included 107 patients with sepsis and severe sepsis hospitalized in 1997-2010.
  
  
  RESULTS
  Sepsis was diagnosed in 48.6% of patients and severe sepsis - in 51.4% ofpatients. The mortality rate in patients with severe sepsis was 30.9%. Blood cultures were positive in 55.1% cases. Gram-positive bacteria were isolated most frequently - 71.7%. The most common source of infection overall was pneumonia (21.5%). Odontogenic infections (25%) and urinary tract infections (21.2%) dominated in patients with sepsis. 25.2% of patients developed bacterial meningitis.
  
  
  CONCLUSIONS
  Despite advances in diagnostics and treatment sepsis is still a major medical problem with high mortality. Patients with severe sepsis and meningitis should be treated in ICU setting. Decayed teeth should be considered as a potential source of sepsis of unknown origin.
authors: Klinika Chorób Zakainych i Neuroinfekcji, Uniwersytet Medyczny w Bialymstoku.
authors: Piotr
authors: P
authors: Czupryna
authors: Adam
authors: A
authors: Garkowski
authors: Anna
authors: A
authors: Moniuszko
authors: Slawomir
authors: S
authors: Pancewicz
authors: Aleksandra
authors: A
authors: Ciemerych
authors: Joanna
authors: J
authors: Zajkowska
mesh_terms: D000328:Adult; D000368:Aged; D015897:Comorbidity; D005260:Female; D006094:Gram-Positive Bacteria / Q000302:isolation & purification; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000453:epidemiology; D011044:Poland / Q000453:epidemiology; D012189:Retrospective Studies; D018805:Sepsis / Q000175:diagnosis* / Q000453:epidemiology* / Q000382:microbiology; D015996:Survival Rate; D014076:Tooth Diseases / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology