Özet:

Purpose: In our study, we aimed to identify the peculiarity and sensitivity of microorganisms that cause infection in sepsis-detected patients, the gravity scores of the disease and the biosymptoms as the predictor of mortality. In our study, the records of 76 patients aged 18 and older who were diagnosed with sepsis between 01.01.2017 and 01.01.2018 in our hospital's rehabilitation unit were retrospective examined. The demographic data of patients, the treatment of the intensive care unit, the causes and durations, the biochemical analysis, the score of acute physiology and chronic health assessment-II (APACHE-II) calculated in the first twenty-four hours and the score of consecutive organ insufficiency assessment (SOFA) and the result of the cultural analysis compared the sensitivity and specificity of the microorganisms reproduced in terms of mortality and morbidity prediction. Results: 46,05 percent of patients were female, 53,95 percent male, the average age was 62,67±18,1 years, the mortality rate was 51,31 percent. 60,53 percent of patients were diagnosed with sepsis after surgery, 39.47 percent were diagnosed with internal causes, and the average treatment time was 35±43.7 days. The cause of the infection is most often Klebsiella pneumoniae, the second is Staphylococcus aureus, and Candida spp is the fungal factor. found as. High SOFA, APACHE-II scores, procalcitonin values and Enterococcus faecalis infection, measured in the first 24 hours of treatment, were determined as an independent risk factor for mortality (p<0,05). The result: in the prediction of mortality in septic patients, it should be taken into account in terms of high mortality that E. faecalis infection is an independent risk factor in addition to its scorer systems.

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