The burden, profile and risk factors in severe community acquired Intra–abdominal infections admitted to Intensive care in a tertiary centre in South India

Dr George Prashanth Kurian; Dr Udhay Chandher; Mrs Tunny Sebastian

Volume : VIII, Issue : VI, June - 2018

The burden, profile and risk factors in severe community acquired Intra–abdominal infections admitted to Intensive care in a tertiary centre in South India

Dr George Prashanth Kurian, Dr Udhay Chandher, Mrs Tunny Sebastian

Abstract :

Background:

Community Acquired Intra–Abdominal Infections are common admissions in Intensive Care Units. Better management of these cases and better survival rates can be achieved only if there is a better understanding of patient profiles and risk factors associated with mortality. We aim to highlight the disease burden , profile and risk factors for increased increased adverse outcome of severe community acquired intraabdominal infections admitted to an intensive care unit in a tertiary care centre in south India.

Methods:

We conducted a retrospective study of patients admitted to the Surgical ICU and Surgical HDU during a two year period (Jan 2014 to Dec 2015) with community acquired Intra–abdominal Infections. Primary outcomes were risk factors associated with increased adverse events( a composite of death and terminal discharge) and secondary outcomes were risk factors associated with increased ICU stay and ICU free stay.

Results

Patients presenting to our centre with intra–abdominal infections were overwhelmingly younger males. APACHE scores of 25–29 were found to be significantly associated with adverse outcomes.

Conclusion

Despite advances in diagnosis, surgery and antimicrobial therapy,mortality associated with intra–abdominal infections remains still unacceptably high. More studies are needed to better understand this disease process and improve its management.