Yếu tố nguy cơ liên quan đến tử vong ở người bệnh nhiễm khuẩn huyết do Aeromonas hydrophila

Abstract

This cross-sectional, descriptive study was conducted to evaluate the outcome and explore the risk factors related to mortality of A. hydrophila septicemia in patients treated at the National Hospital of Tropical Diseases from 2018 to 2024. Of 37 patients included in the study, 3 patients had septic shock, mainly appearing within 5 days after the onset. 26 patients (70.3%) recovered but 11 patients (29.7%) passed on, of which 6 patients passed within the first 3 days of hospitalization. After 3 days of treatment, the median procalcitonin (PCT) level and SOFA score was lower than the first day of hospitalization. After 7 days of treatment, the level of CRP, procalcitonin, bilirubin, creatinine, AST, ALT, and SOFA scores decreased significantly compared to the day of admission. Multivariate logistic regression analysis showed that septic shock was an independent factor associated with mortality. In conclusion, septicemia caused by A. hydrophila is a severe disease with high rates of shock and mortality. Septic shock often appears within the first 5 days after the onset and is an independent factor related to mortality.