Sepsis & infection

A multicentre prospective registry of one thousand sepsis patients admitted in Indian ICUs: (SEPSIS INDIA) study

Crit CarePublished Prospective multicentre registry study

Authors' conclusion

The mortality of sepsis cohort was higher (36.3%) but septic shock mortality (50.8%) was comparable to Western reports.

Study context

Population
Adult ICU patients with sepsis or septic shock (Sepsis 3 criteria) in 19 ICUs in India, August 2022-July 2023; COVID-19 excluded
Participants
1,172 patients · 19 ICUs
Exposure
Without shock vs With shock
  • Without shockn = 672
  • With shockn = 500
Outcome
Hospital mortality

Main finding

As reported in the abstract

Hospital mortality, entire cohort
36.3%

Observational data: associations, not effects.

Further findings

Microbiology

Gram negative organisms among culture positive results
65%
Carbapenem-resistance in gram negative blood culture isolates
50%
Klebsiella spp
25%
Escherechia coli
24%
Acinetobacter Spp
11%
Tropical infections (Dengue, Malaria, Typhus)
2.2%
  • Tropical infections n = 32

ICU and hospital LOS

Average ICU LOS
8.64
Average hospital LOS
11.9
  • Unit not printed

Predictors of mortality (multivariate analysis)

Adequate source control, correct choice of empiric antibiotic and IV thiamine were protective

Original publication

A multicentre prospective registry of one thousand sepsis patients admitted in Indian ICUs: (SEPSIS INDIA) study. Crit Care. Published 19 November 2024. doi:10.1186/s13054-024-05176-8

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