Abstract
We examined the characteristics at the patients with septic shock caused by urinary tract infection, i.e., age, sex, primary urological diseases, laboratory data, the bacteria cultured from blood and urine, acute physiology and chronic health evaluation II (APACHE II) score, sepsis-related organ failure assessment (SOFA) score, treatments (antibiotics, polymyxin immobilized fiber column-direct hemoperfusion, surgical intervention), duration of ICU stay and the outcome. The patients age (4 males and 11 females) was ranged from 24 to 86 (65±14). The primary diseases were urinary obstruction by ureteral stones (n=11), acute prostatitis (n=2), renal abscess (n=1) and bladder rupture (n=1). Gram-negative rods and gram-positive cocci was detected in the blood culture 10 (including 7 with Escherichia coli) and 2 cases respectively, and the same bacteria got together from urine and blood culturing in the 9 cases. The APACHE II score ranged from 11 to 35 (22±6), and the SOFA score was between 7 and 19 (11±3). Mechanical ventilation was applied in 6 cases. Antibiotic therapy with carbapenem in 11 cases and surgical intervention with urinary stents worked well for improvement of septic state. All patients returned to ward with recovery. The reason of good prognosis in this kind of urological sepsis might be the easy diagnosis by CT and/or ultrasonography, leading to the quick planning for treatment.
