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Sepsis co-morbidity needs tailored care

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ICU patients with co-morbid sepsis and acute kidney injury may need nursing care that is distinct from non-septic kidney injury, say Australian researchers.

They said that septic AKI was a common problem in ICU, occurring in up to 12% of all admissions. The number of cases is also rising due to an increase in older patients with co-mordities and more complex interventions such as organ transplantation. But they added that few studies had looked at the condition specifically.

As a result, they evaluated five years of data on more than 120,000 admissions to 57 ICUs, of which 43,000 were diagnosed with AKI and 14,000 with septic AKI.

They found those with septic AKI were generally sicker than non-septic cases, and had lower blood pressure, higher heart rates, worse pulmonary function and higher white cell counts.

Critical Care (2008) 12: R47

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