RESUMO
The authors made an analysis of their experience with treatment of sepsis in a specialized center. Typical errors in treatment of the disease in the general public health service are: insufficient sanitation of septic foci, inadequate antibacterial therapy. Not all main possibilities of complex therapy are always used. The problem of struggle against sepsis can not be solved without organization of antiseptic centers.
Assuntos
Infecções Bacterianas/diagnóstico , Toxemia/diagnóstico , Infecção dos Ferimentos/diagnóstico , Infecções Bacterianas/terapia , Erros de Diagnóstico , Febre/diagnóstico , República da Geórgia , Humanos , Qualidade da Assistência à Saúde , Toxemia/terapia , Infecção dos Ferimentos/terapiaAssuntos
Endocardite Bacteriana/tratamento farmacológico , Heparina/administração & dosagem , Monitorização Fisiológica , Sepse/tratamento farmacológico , Adolescente , Adulto , Coagulação Sanguínea/efeitos dos fármacos , Criança , Pré-Escolar , Endocardite Bacteriana/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sepse/sangue , Fatores de TempoRESUMO
Out of 908 patients with sepsis treated at the Republican Antisepsis Center, 19 presented with different schizophrenia syndromes (2 with acute delirium, 3 with encephalic manifestations, 3 with the amentive-catatonic form, the remainder with the amentive-depressive form). In 6 patients, psychic disorders preceded fever, in 3 patients, both conditions occurred simultaneously, and 9 developed psychosis in the presence of fever. In all the patients, with the exception of one, the diagnosis of sepsis was supported by repeated isolation of hecocultures of S. epidermidis (14 cases) and S. aureus (4 cases). The patients received antisepsis treatment. Two patients died and the rest 17 patients were cured of sepsis. The schizophrenic syndrome disappeared. No relapses were recorded with the exception of one female patient, in whom both sepsis and psychic disorders recurred. Later on, however, she also recovered.
