TABLE 1.
Patient no. | Age (yrs) | Sex | Body wt (kg) | Reason(s) for PICU admission | Type(s) of infection | Organism isolated (origin) | Medications coadministered | Day 1 |
Day 5 |
||
---|---|---|---|---|---|---|---|---|---|---|---|
Sepsis criteria met? | PRISM score | Sepsis criteria met? | PRISM score | ||||||||
1 | 10 | M | 40 | Nontraumatic coma, brain edema, bilateral craniectomy, Bartonella quintana CNSb infection | Febrile skin and soft tissue infection complicating craniectomy | Staphylococcus epidermidis (blood, repeatedly) | Phenytoin, levetiracetam, midazolam, esmolol, enoxaparin sodium, ranitidine, methylprednisolone, piperacillin-tazobactam, gentamicin, rifampin, doxycycline | No | 2 | No | 2 |
2 | 8 | M | 26 | Extended (25%) full-thickness burn | Breakthrough sepsis on vancomycin | Enterococcus faecium (blood) | Ranitidine, meropenem, gentamicin, fluconazole | Yes | 2 | Yes | 1 |
3 | 9.5 | F | 45 | Rupture of appendix, peritonitis, septic shock | Surgical site infection | Enterococcus faecalis (surgical site, peritoneal fluid) | Remifentanil, propofol, ranitidine, meropenem, amikacin, metronidazole | Yes | 7 | No | 1 |
4 | 14 | F | 45 | Acute peritonitis, septic shock | Peritonitis, intra-abdominal abscesses, septic shock | Remifentanil, propofol, ranitidine, noradrenaline, meropenem, metronidazole, micafungin | Yes | 7 | Yes | 1 |
PRISM, pediatric risk of mortality.
CNS, central nervous system.