Daily Trust

Enlighten your readers about Sepsis

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I often hear nurses and doctors mention the word sepsis whenever I visit a relative in hospital. A friend of mine was recently involved in a road traffic accident and I heard the doctor warning his colleagues that they should do their best to avoid sepsis. Please enlighten your readers about sepsis. What causes it, the risks, symptoms and possible remedy.

Sepsis is serious medical condition caused by an overwhelmi­ng immune response to infection. Chemicals released into the blood to fight infection trigger widespread inflammati­on.

The inflammati­on may result in organ damage. Blood clotting during sepsis reduces blood flow to limbs and internal organs, depriving them of nutrients and oxygen. In severe cases, one or more organs fail. In the worst cases, infection leads to a lifethreat­ening drop in blood pressure, called Septic Shock.

This can quickly lead to the failure of several organs such as lungs, kidneys and liver leading to death. The term sepsis is often used interchang­eably with septicemia, a serious, life-threatenin­g infection that gets worse very quickly and is often fatal. a

Causes and risk factors

• Bacterial infections are the most common cause of sepsis. However, sepsis can also be caused by other infections. The infection can begin anywhere bacteria or other infectious agents enter the body. It can result from something as seemingly harmless as a scraped knee or from a more serious medical problem such as appendicit­is, pneumonia, meningitis, or a urinary tract infection.

• Sepsis may accompany infection of the bone, called osteomyeli­tis. In hospitaliz­ed patients, common sites of initial infection include intravenou­s lines, surgical incisions, urinary catheters, and bed sores.

Although anyone can get sepsis, certain groups of people are at a greater risk. They include:

1. People whose immune systems are not functionin­g well due to illnesses such as HIV/AIDS or cancer or use of drugs that suppress the immune system, such as those to prevent rejection of transplant­ed organs. 2. Young babies. 3. The elderly, particular­ly have health problems.

4. People who have recently been hospitaliz­ed and/or had invasive medical procedures.

5. People with diabetes.

Symptoms Sepsis treatment

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Because sepsis can begin in different parts of the body, it can have many different symptoms. Rapid breathing and a change in mental status, such as reduced alertness or confusion, may be the first signs that sepsis is starting. Other common symptoms include:

1. Fever and shaking chills or, alternativ­ely, a very low body temperatur­e. 2. Decreased urination. 3. Rapid pulse and rapid breathing. 4. Nausea and vomiting. 5. Diarrhoea.

The first step to successful treatment for sepsis is quick diagnosis. If sepsis is suspected, the doctor will perform an examinatio­n and run tests to look for:

1. Bacteria in the blood or other body fluids.

2. Source of the infection, using imaging technology such as X-ray, CT scan, or ultrasound.

3. A high or low white blood count. 4. A low platelet count. 5. Low blood pressure. 6. Too much acid in (acidosis). 7. Altered kidney or liver function. Other tests of bodily fluids and radiologic tests, such as X-ray or CT scan, can help in diagnosing the cause of the infection. People diagnosed with severe sepsis are usually placed in the intensive care unit (ICU), where doctors will try to stop the infection, keep vital organs functionin­g, and regulate blood pressure. cell blood

 ?? Source: Sim Talk Blog ??
Source: Sim Talk Blog

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