Reason analysis and nursing of septic shock caused by biopsy among prostate cancer patients

Abstract

Objective To explore the causes and nursing measures of septic shock caused by biopsy in patients with prostate cancer, and to provide reference for reducing infectious shock. Methods The general data of 84 prostate cancer patients, who taken puncture biopsy, were retrospectively analyzed, and the causes of Septic shock were analyzed by the Pearson univariate analysis method and multivariate logistic regression analysis method. Results All 7 patients of septic shock were detected, with the occurrence rate 8.33%. A total of 10 strains of pathogenic bacteria were detected from those 7 patients, including 8 strains of gram negative bacteria and 2 strains of gram positive bacteria. There were significant difference between two groups on the age, diabetes complication, prostate infection complication, urinary tract infection complication, APACHE II score, repeated puncture (P<0.05). Multivariate Logistic regression analysis showed that prostate infection complication, age, urinary tract infection complication, APACHEⅡscore were major risks for septic shock induced by biopsy in prostate cancer patients (OR=0.376, 0.141, 0.281, 0.269, P<0.05). Conclusions Septic shock is mainly caused by gram negative bacteria when biopsy is taken on prostate cancer patients and it mainly happens in 48 hours after the operation. Patients with lower APACHE II score, elder age, with prostate infections or with urinary tract infection should be given multi-angle prevention and treatment to reduce the incidence of septic shock. Key words: Prostatic neoplasms; Nursing; Biopsy; Septic shock