Examining the frequency of clinical and paraclinical indicators of cancer patients with Sepsis

Cancer is one of the most important diseases of current century and the second cause of death after cardiovascular diseases. Various factors are effective in the occurrence of malignancy and one of the most important factors is blood infection. The present study was aimed to investigating the frequency of clinical and paraclinical indicators of cancer patients with symptoms of sepsis. This cross-sectional study, ۱۰۰ cancer patients' referred to the emergency department of Imam Khomeini Hospital in Sari city with signs of sepsis were selected. Finally, the information obtained from the questionnaires was entered into SPSS-۱۸ software and the collected information was statistically analyzed using descriptive statistics (prevalence and mean) and T-test. Among the patients, ۵۷% were men and ۴۳% were women. ۵۶% had sepsis, ۴۲% had severe sepsis and only ۲% had septic shock. Escherichia coli (E. coli), Pseudomonas aeruginosa (P. aeruginosa), Acinetobacter and Candida albicans (C. albicans) were the most prevalent causes of sepsis. Blood pressure in most patients is lower than normal and ۲۶% of patients have a history of diabetes. The highest frequency of cancer was related to stomach and small intestine cancer, and neutropenia was present in all types of cancer except leukemia and lymphoma. The results of this study showed that many non-specific parameters for cancer diagnosis should be taken into consideration by emergency department specialist and should not be easily interpreted from symptoms such as fever, diabetes, decrease or increase in neutrophils and white blood cells. Forgiveness.

Keywords:

cancer , Sepsis , Diabetes , Neutropenia , Emergency Department