Prevalencia de choque séptico en pacientes de 40 a 90 años con infección de vías urinarias atendidos en la Unidad de Cuidados Intensivos del Hospital Teodoro Maldonado Carbo desde enero del 2022 al enero del 2024.

Abstract

Septic shock, a severe complication of urinary tract infections (UTI), can result in high mortality. The purpose of this study was to identify the prevalence of this diagnosis in patients aged 40 to 90 years with urinary infections, registered in the Intensive Care Unit of the Teodoro Maldonado Carbo Hospital between January 2022 and January 2024. It was a cross-sectional study. observational, retrospective and descriptive. Data were collected from medical records; the information was processed using Microsoft Excel 2010 and SPSS version 25. Patients aged 40 to 90 years hospitalized in the Intensive Care Unit of the hospital under study were included. Inclusion criteria were considered patients with a diagnosis of septic shock and confirmatory culture of the microorganism causing the UTI. Patients outside the age range, with incomplete medical histories, or with septic shock of origin other than the urinary tract were excluded. The mortality rate due to septic shock was 90.37%. The majority of patients with septic shock presented high UTI (81.82%). The prevalence was higher in patients between 61 and 80 years old, with no gender predominance. The most common comorbidities included the use of urinary catheters and diabetes mellitus and the most frequently identified microorganism was Escherichia coli. In conclusion, the severity of septic shock associated with UTI and the need for preventive and early management interventions to improve clinical outcomes in this high-risk population.