Abdominal Sepsis Associated with Multiple Organ Failure in Patient from the IMSS, UMAE 14

Authors: Torres Hernández RM*, Jiménez BG, Mercado OA, Ojeda HH and Maza Chávez SA

DOI: 10.23880/ijfsc-16000235

Volume 6, Issue 3

Abstract

Introduction: Abdominal sepsis is a systemic response to an infectious process, initially localized to one or more abdominal viscera. This response can be associated with multiple organ failure, whose underlying mechanisms are not completely understood, thus, it is important to identify associated factors that can predispose its development. Objective: Determine the association of abdominal sepsis in patients with multiple organ failure. Material and Methods: An observational, retrospective and analytic study was performed, in which, it was examined 42 clinical records of patients with diagnosis of abdominal sepsis, treated in the UMAE surgery unit of IMSS from Veracruz. The following variables were analyzed: presence of multiple organ failure, sepsis origin, extent of peritonitis, characteristics of the peritoneal fluid, hemoglobin, hematocrit, leukocytes, platelets, TP, TPP. Results: The study included 42 clinical records and diagnosis of multiple organ failure was found in 13 (31%) of them. Patients’ ages range 62.1 ±19.9 years. Serous peritoneal fluid 24%, purulent 71.4% and fecaloid 7.1%. Regarding sepsis origin, the colonic origin was identified in 64.3% and non-colonic in 35.7% of cases. The variables that obtained the greatest sensitivity were: TP (100%), hemoglobin (84.5) and peritoneal extension (76.9%). Conclusion: Patients with abdominal sepsis were associated with multiple organ failure with a colonic origin and fecaloid liquid in 23% of the cases.

Keywords: Abdominal Sepsis; Multiple Organ Failure; Mannheim Criteria; Peritonitis

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