A study on prevalence and evaluation of management of sepsis on pediatric in a tertiary care hospital

Abstract

Sepsis  is  the  programmed  consequences  of  an  infection  in  the  body . It  can  occur  when  the   body  is invaded  by  pathogens  which  can  spread  throughout  the  body  and  become  potentially  fatal . The prospective observational  study  was  conducted  to  evaluate  the  prevalence , management  of  sepsis  in  the  department  of  pediatrics  in  a  hospital  for  a  period  of  three  months . All  around  150  cases  were  examined  thoroughly,  frequently  males  are  more  affected  than  females within  the  age of  1-12 years.

Objective

The  aim  of  our study  is  to  evaluate  the  prevalence , management  and  co – morbidities  of   sepsis  in  pediatrics.  

Methods

In  our  study,  for  the  period  of  three  months  we  recorded  patients  demographics,  other laboratory  data  like WBC,  Platelet  count,  Hemoglobin, CRP, CRFT,  and  the co-morbidities.  This  parameters were  used  to  evaluate  the  patients  with  progression  of  sepsis  like  severe sepsis,  refractory sepsis, shock,  multi organ dysfunction and  death.

Results

According  to  our  study  the  prevalence  of  sepsis  was  observed  in  males  (56%)  and  in females  (44%).  Higher  percentage  of  our  study  population  belonged  to  the  age  group  of  1-3 years(57%) .In the sample size of 150 patients, we observed 58 cases (38%) with sepsis, 92 cases (61.3%) with co-morbidities.  We  perceived (recognized)  that  the  majority  of the  subjects  were  managed  with antibiotics  and  antipyretics.  Most of the subjects were managed with IV fluids and some of them are managed with antibacterial depending on the lab investigations.

Conclusion

To inhibit the progression of sepsis, early recognition, monitoring and proper care is required for better improvement