Showing posts with label Sepsis. Show all posts
Showing posts with label Sepsis. Show all posts

Saturday 14 September 2013

Sepsis, septicaemia and blood poisoning

Sepsis, septicaemia and blood poisoning

Sepsis is often referred to as either blood poisoning or septicaemia, although it could be argued that both terms are not entirely accurate. Sepsis is not just limited to the blood and can affect the whole body, including the organs.
Septicaemia (another name for blood poisoning) refers to a bacterial infection of the blood, whereas sepsis can also be caused by viral or fungal infections.
Sepsis is a life-threatening illness caused by the body overreacting to an infection.
The body’s immune system goes into overdrive, setting off a series of reactions that can lead to widespread inflammation (swelling) and blood clotting.
Symptoms usually develop quickly and include:
  • a fever or high temperature over 38C (100.4F)
  • chills
  • a fast heartbeat
  • fast breathing
In severe cases you may notice:
  • you feel dizzy when you stand up
  • confusion or disorientation
  • nausea and vomiting
Read more about the symptoms of sepsis.
Although anybody can develop sepsis from a minor infection, some people are more vulnerable, such as those:
  • with a medical condition or receiving medical treatment that weakens their immune system
  • who are already in hospital with a serious illness
  • who are very young or very old
  • who have just had surgery or who have wounds or injuries as a result of an accident
Read more information about the causes of sepsis.

Stages of sepsis

Sepsis develops in three stages, described below.
  • Uncomplicated sepsis is caused by infections, such as flu or dental abscesses. It is very common and does not usually require hospital treatment.
  • Severe sepsis occurs when the body’s response to infection has started to interfere with the function of vital organs, such as the heart, kidneys, lungs or liver.
  • Septic shock occurs in severe cases of sepsis, when your blood pressure drops to a dangerously low level, preventing your vital organs from receiving enough oxygenated blood.
If it is not treated, sepsis can progress from uncomplicated sepsis to septic shock and can eventually lead to multiple organ failure and death.
If you think you have sepsis, it is important to get it diagnosed and treated as quickly as possible.
If you think that you or someone in your care has severe sepsis or septic shock, phone 999 and ask for an ambulance.
Read more information about how sepsis is diagnosed.

Treating sepsis

If sepsis is detected early and has not yet affected vital organs, it may be possible to treat the infection at home with antibiotics. Most people with uncomplicated sepsis make a full recovery.
Severe sepsis and septic shock are considered medical emergencies and normally require admission to an intensive care unit, where the body’s organs can be supported while the infection is treated.
Because of problems with vital organs, people with severe sepsis are likely to be very ill, and approximately 30-50% will die as a result of the condition.
Read more information about how sepsis is treated.

How common is it?

It is estimated that there are over 30,000 cases of severe sepsis in the UK every year, and the number seems to be rising.

Sepsis lives can be saved, says ombudsman

Sepsis lives can be saved, says ombudsman

Bacterial infection of the blood causing sepsisSepsis is a potentially fatal condition caused by the body's immune system overreacting to infection

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More must be done to save the lives of patients with sepsis, says a report from the Health Service Ombudsman.
It found significant failings in treatment of the condition, which is caused when the body's immune system overreacts to infection.
It focused on 10 patients who were not treated urgently enough and died.
The National Institute for Health and Care Excellence will produce guidance for GPs and clinicians to help them recognise sepsis at an early stage.
Around 37,000 people are estimated to die of sepsis each year, accounting for 100,000 hospital admissions.
The Ombudsman, who investigates complaints from people who have received poor service from the NHS in England, said diagnosing and treatment presented some real problems because the condition was hard to spot and treat.

'Sepsis was taking over his body'

Jem and wife Karen
Jem Abbotts was 37 years old and recovering from a routine operation when he became ill.
He started vomiting and feeling feverish so the GP prescribed antibiotics and he went to bed to recover.
But a few days later he woke up vomiting and was rushed to hospital in a coma, as his organs began to fail.
He had contracted a bacterial infection which had entered his bloodstream, causing a condition known as sepsis.
Sepsis can lead to swelling and blood clotting - and cause internal organs to stop working.
The most common causes of severe sepsis are pneumonia, bowel perforation, urinary infection, and severe skin infections.
Julie Mellor, the Health Service Ombudsman, said it was time for the NHS to act.
"In the cases in our report, sadly, all patients died. In some of these cases, with better care and treatment, they may have survived.
"We have worked closely with NHS England, NICE, UK Sepsis Trust and Royal Colleges to find solutions to the issues identified in our report. NICE and NHS England have already agreed to take forward the recommendations of our report.

Start Quote

We know it is not easy to spot the early signs of sepsis, but if we learn from these complaints... then lives can be saved ”
Julie MellorHealth Service Ombudsman
"We know it is not easy to spot the early signs of sepsis, but if we learn from these complaints and work to improve diagnosis and provide rapid treatment, then lives can be saved."
The report recommended improving the recognition and treatment of sepsis by providing medical staff with clear clinical guidance.
She also recommended that NHS England launch a public awareness campaign which targets vulnerable groups of patients, such as those who are weak or in hospital.
Clinical staff should attach more importance to listening to the relatives of patients since they can be the first to recognise the patient's deterioration, she said, and more senior doctors should be involved in patient care.
Charles Turton, clinical advisor with the Health Service Ombudsman: "Patients in the early stages can look quite well"
Simple life-savers
Dr Ron Daniels, chairman of the UK Sepsis Trust, said there was a straightforward solution.

Facts about sepsis

  • Sepsis is a more common reason for hospital admission than heart attack - and has a higher mortality.
  • The most common causes of severe sepsis are pneumonia, bowel perforation, urinary infection, and severe skin infections.
  • The most common signs of sepsis are a high fever, violent shivering, fainting, cold and pale hands, rapid breathing, confusion or delirium.
  • 37,000 people are estimated to die of sepsis each year in the UK.
  • From the time sepsis first takes hold, healthcare workers have just hours to deliver the right care.
"The best hospitals have achieved better outcomes from sepsis by adopting a simple set of life-saving measures, collectively known as the Sepsis 6, and ensuring that a culture of awareness around sepsis has been created.
"We now need to spread this awareness to other health professionals and to the public, and to underpin this with guidance from NHS England and the National Institute for Health and Care Excellence."
He said the recommendations would potentially save 12,500 more lives every year.
Dr Mike Durkin, NHS England's director of patient safety, said the NHS would use the findings to work with GPs and hospitals to reduce deaths from sepsis.
"This report and guidance will help us to build on the work that is already in place to emphasise the importance of education, early detection and prompt treatment.
"We all need in every setting to understand the importance of identifying deterioration in both adults and children, in reducing the admission of full-term babies to neonatal care and identifying problems in vulnerable older people in the first 48 hours of acute illness."
Dr Peter Carter, chief executive of the Royal College of Nursing, said the report showed the tragic consequences of sepsis.
"It is vital that all staff are provided with training and support to enable them to recognise the signs and symptoms of sepsis, and crucially to know how to act quickly when sepsis is diagnosed."

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