Sepsis can be a dangerous complication of almost any type of infection, including influenza, pneumonia and food poisoning; urinary tract infections; bloodstream infections from wounds; and abdominal infections.
Steve Peters, M.D., a pulmonary and critical care physician at Mayo Clinic and senior author of a recent sepsis overview in the medical journal Mayo Clinic Proceedings, explains sepsis symptoms and risk factors, the difference between severe sepsis and septic shock, and how sepsis is typically treated:
What is sepsis? Sepsis occurs when chemicals released into the bloodstream to fight an infection trigger inflammatory responses throughout the body. This inflammation can trigger a cascade of changes that can damage multiple organ systems, causing them to fail.
"Many infections can cause it," Dr. Peters says. "It is most common with bacterial infections, but you can get sepsis from other types of bugs also."
What are symptoms to watch for? A high fever; inability to keep fluids down; rapid heartbeat; rapid, shallow breathing; lethargy and confusion are among the signs. If sepsis is suspected, seek emergency care, Dr. Peters advises. Rapid intervention is critical.
"Let's say one feels some nasal congestion, and achy, like a cold or upper respiratory illness they'd had many times before, or a low-grade temperature of 99 or 100 F, and otherwise they're up and around and able to drink fluids: That would not call for going to the emergency department," he says. "But, if one was not able to take fluids, became more sleepy and lethargic and was lying down all day, and starting to look quite ill or appearing confused, for example -- that person should definitely be seen by a doctor."
How is sepsis treated? The first step is diagnosis: Cultures are taken from the blood and any other relevant parts of the body. Intravenous fluids are given, and antibiotics are usually started right away.
"Probably the single most important thing is to try to maintain fluids," Dr. Peters says. "The damage of sepsis probably begins with loss of fluids."
If sepsis is severe, with rapid heart rate, rapid breathing and shortness of breath, and the initial fluid given doesn't prompt rapid improvement, patients are usually hospitalized.
What are the differences among sepsis, severe sepsis and septic shock? Sepsis refers to signs of inflammation in the presence of a presumed infection, Dr. Peters says.
"Severe sepsis means you've got that and signs of organ damage: lung injury, impaired kidney function, impaired liver function," Dr. Peters explains. "Septic shock means you have all of those findings of severe sepsis, but now you've been given fluids, and there's still poor blood pressure, poor urine output, breathing troubles, and there are still ongoing signs of sepsis."
Septic shock can be fatal. Among hospitalized patients, septic shock is associated with a 20 to 30 percent risk of death, Dr. Peters says.
Sepsis is such a concern in hospital critical care units that Mayo Clinic has developed a sepsis "sniffer" to help detect it in patients and spot who is at higher risk. Recent improvements to the sniffer are outlined in a new article in Mayo Clinic Proceedings.
Who's at risk? Anyone can develop sepsis. People on chemotherapy or other immune-suppressing drugs are at higher risk, as are the elderly and people with open wounds that could lead to infection. Often, immune-suppressed patients are given antibiotics preventively.
Is there anything you can do to prevent sepsis if you catch the flu or another illness?
"Taking your temperature is important, because it gives a good assessment of how severe this might be," Dr. Peters says. "Probably the single most important thing is to try to continue taking in fluids. Watch for signs and symptoms, and seek urgent medical care if you suspect sepsis."
For interviews with Dr. Peters, please contact Sharon Theimer in Mayo Clinic Public Affairs at 507-284-5005 or firstname.lastname@example.org.
About Mayo Clinic
Mayo Clinic is a nonprofit organization committed to medical research and education, and providing expert, whole-person care to everyone who needs healing. For more information, visit http://mayocl.
About Mayo Clinic Proceedings
Mayo Clinic Proceedings is a monthly peer-reviewed medical journal that publishes original articles and reviews dealing with clinical and laboratory medicine, clinical research, basic science research and clinical epidemiology. Proceedings is sponsored by the Mayo Foundation for Medical Education and Research as part of its commitment to physician education. It publishes submissions from authors worldwide. The journal has been published for more than 80 years and has a circulation of 130,000. Articles are available online at http://www.
Sharon Theimer | EurekAlert!
Team discovers how bacteria exploit a chink in the body's armor
20.01.2017 | University of Illinois at Urbana-Champaign
Rabies viruses reveal wiring in transparent brains
19.01.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn
An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...
Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...
Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.
While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...
Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales
Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...
Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.
As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...
19.01.2017 | Event News
10.01.2017 | Event News
09.01.2017 | Event News
20.01.2017 | Awards Funding
20.01.2017 | Materials Sciences
20.01.2017 | Life Sciences