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Sepsis episodes caused by pressure injuries in critical illness: A retrospective observational cohort study

dc.contributor.authorKaya, Pınar Küçükdemirci
dc.contributor.authorKaya, Murad
dc.contributor.authorGirgin, Nermin Kelebek
dc.contributor.authorKahveci, Ferda S.
dc.contributor.authorAkalın, Emin Halis
dc.contributor.authorİsçimen, Remzi
dc.contributor.buuauthorKÜÇÜKDEMİRCİ KAYA, PINAR
dc.contributor.buuauthorKAYA, MURAD
dc.contributor.buuauthorKELEBEK GİRGİN, NERMİN
dc.contributor.buuauthorKAHVECİ, FERDA ŞÖHRET
dc.contributor.buuauthorAKALIN, EMİN HALİS
dc.contributor.buuauthorİŞÇİMEN, REMZİ
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi.
dc.contributor.orcid0000-0002-8428-8245
dc.contributor.orcid0000-0002-5882-1632
dc.contributor.researcheridJGB-6637-2023
dc.contributor.researcheridCYJ-4124-2022
dc.contributor.researcheridDTU-3148-2022
dc.contributor.researcheridIMY-6211-2023
dc.contributor.researcheridAAU-8952-2020
dc.contributor.researcheridDWL-9897-2022
dc.date.accessioned2024-10-01T05:17:22Z
dc.date.available2024-10-01T05:17:22Z
dc.date.issued2023-11-01
dc.description.abstractBACKGROUND: Critically -ill patients (CIPs) with pressure injuries (PIs) may develop bloodstream infections (BSIs). PURPOSE: To identify predisposing factors and discuss diagnosis and management of sepsis -related PIs in CIPs. METHODS: The records of CIPs in the intensive care unit (ICU) between January 1, 2014, and January 1, 2020, with PI with sepsis -diagnoses and with different site cultures that were positive concurrent with bloodstream -cultures were retrospectively reviewed. RESULTS: Ninety-one sepsis episodes were included in the study. Low albumin level ( U = 382.00, P = .006), renal failure (odds ratio [OR], 0.108 [95% CI, 0.015-0.783]; P = .025), and length of ICU stay ( U = 130.00, P < .001) were identified as risk factors of BSIs due to PIs. The probability of BSI during a sepsis episode was lower in CIPs with PIs with higher C -reactive protein levels ( U = 233.00, P < .001) and whose injury resulted from trauma or surgery (OR, 0.101 [95% CI, 0.016-0.626]; P = .014). The mortality was higher in CIPs with PI -induced BSIs (OR, 0.051 [95% CI, 0.008-0.309]; P = .001). CONCLUSIONS: Pressure injury -induced sepsis was associated with a high risk of 28 -day mortality. The findings suggest that CIPs with PI are at increased risk of BSIs if they have low albumin levels, renal -failure, and prolonged ICU stay during sepsis episodes.
dc.identifier.doi10.25270/wmp.22093
dc.identifier.issn2640-5237
dc.identifier.issue4
dc.identifier.urihttps://doi.org/10.25270/wmp.22093
dc.identifier.urihttps://www.hmpgloballearningnetwork.com/site/wmp/empirical-studies/sepsis-episodes-caused-pressure-induced-skin-and-soft-tissue-injuries
dc.identifier.urihttps://hdl.handle.net/11452/45544
dc.identifier.volume69
dc.identifier.wos001254238800001
dc.indexed.wosWOS.SCI
dc.indexed.wosWOS.SSCI
dc.language.isoen
dc.publisherHmp
dc.relation.journalWound Management & Prevention
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectSpinal-cord-injury
dc.subjectUlcers
dc.subjectDefinitions
dc.subjectBacteremia
dc.subjectFailure
dc.subjectPressureinjury
dc.subjectPressureinjury infection
dc.subjectSepsis
dc.subjectCritical illness
dc.subjectAntimicrobial resistance
dc.subjectDermatology
dc.subjectNursing
dc.titleSepsis episodes caused by pressure injuries in critical illness: A retrospective observational cohort study
dc.typeArticle
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscovery468d1ea4-987c-4b37-9d8a-878d5d902281

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