Sepsis

 

Sepsis

With sepsis, the body reacts to infection with severe inflammation that floods the blood. A cut can lead to sepsis, like an insect bite, burn, or pneumonia. In most cases, the triggers are bacteria, more rarely viruses, candida (fungi), or protozoa. Not every finding of bacteria in the blood is synonymous with sepsis. Only once the build is no longer able to fight the pathogens on its own does blood poisoning occur. techbizcente

Without timely treatment, the entire immune system breaks down in severe sepsis. In the case of toxic septic shock, several organs fail simultaneously (multi-organ failure), and blood pressure drops massively. If sepsis has progressed to this stage, it leads to death in 50 percent of all cases. Timely drug and surgical treatment are therefore essential for successful treatment. answerhop

Harbingers and first signs of sepsis

In the early stages, sepsis is difficult to distinguish from general inflammation of the body without sepsis. SIRS symptoms (Systemic Inflammatory Response Syndrome) can harbor blood poisoning but are not yet actual sepsis. Symptoms of SIRS include

·        increased pulse (more than 90 beats per minute)

·        increased breathing rate (more than 20 breaths per minute)

·        strongly deviating body temperature down (below 36 ° C) or up (over 38 ° C)

·        severely decreased or increased number of white blood cells (white blood cells)   

            technologywebdesign

If the attending physician notices the symptoms listed above, there is no blood poisoning. Only when the inflammation spreads to the whole body does medicine speak of superficial sepsis.

When inflammation turns into sepsis

If there is a complex systemic immune reaction in sepsis, inflammation, which initially appears harmless, is the trigger. This can be pneumonia or other infection as well as a purulent wound. It does not automatically lead to so-called blood poisoning, and in most cases, the body's immune system can deal with the intruders on its own. An immune system that has been weakened for various reasons cannot offer sufficient resistance to the pathogens.  marketingmediaweb

If sepsis is on the way, then quick action is essential for healing. If left untreated, blood poisoning can quickly become life-threatening. Without appreciating sufferers often the threat of mortal danger, the sepsis after cardiovascular disease and cancer at the No. 3 cause of death in Germany is. Around 150,000 people suffer blood poisoning each year, half of which is fatal. At the first symptoms and suspicion of sepsis, medical help should be sought immediately, even if it is ultimately SIRS.

Rapid diagnosis and timely treatment in sepsis are essential for survival

Even with minor complaints such as general malaise, high temperature, and rapid breathing, those affected should not take their condition lightly. It is not a harmless cold or a slight infection in an emergency, but severe blood poisoning. The attending physician differentiates between mild, moderate, and severe sepsis. tipsfromcomputertechs

 

A rapid diagnosis that leads to prompt treatment can save lives, because undetected and treated too late; sepsis can worsen dramatically within a few hours. In severe sepsis, several organs such as the heart and lungs, liver, and kidneys fail simultaneously, and the chances of survival drop dramatically. Therefore, the time factor and the correct interpretation of the symptoms are decisive for successful treatment.

 

Essential criteria for severe sepsis

If the patient looks confused if the pulse is racing with accelerated breathing and suddenly rising or falling temperature, sepsis could be present. Seriously on sepsis, suggestive criteria are

·        Confusion from blood poisoning in the brain

·        accelerated and shallow breathing

·        the fast heartbeat of more than 90 beats/minute

·        significantly decreased blood pressure with less than 90 mmHg

·        decreased urine excretion due to renal impairment

·        Body temperature increased above 38 ° C with chills or fallen below 36 ° C

A doctor's quick diagnosis is essential, as other diseases can also trigger various symptoms.

Clear and overestimated warning signals - from spots on the skin to the dreaded "red line."

Medical laypeople like to use the famous red line leading from a wound to the heart to sign blood poisoning. The red line initially only indicates an inflammation of the lymphatic system. If left untreated, such lymphangitis can develop into blood poisoning, as with any inflammation, but not necessarily. Therefore, the doctor must be consulted in any case.

A clear indication of sepsis after infection with meningococci (bacteria in the nose and throat) is a large number of small red spots on the skin. These spots can develop into bluish or deep red areas that are reminiscent of bruises or form blood cells. Admission to the hospital is always indicated when these warning signals occur.

Blood culture and treatment with antibiotics

In the hospital, if sepsis is suspected, the treating doctors create a blood culture to determine the pathogen and, at the same time, test the blood for the hormone precursor procalcitonin formed in the thyroid. If there is blood poisoning, the blood's procalcitonin level increases ten thousand times. It usually takes 24 to 36 hours until the pathogen is identified. Therefore, in the meantime, the doctor treats a broad-spectrum antibiotic that is effective for many pathogens. Once the pathogen is identified, targeted therapy with a specific antibiotic begins. Overall, the treatment of blood poisoning is based on four pillars :

·        drug therapy with antibiotics

·        Intensive care therapy as support (e.g., oxygen administration and thrombosis prophylaxis)

·        Treating the failing organs such as artificial respiration and hemodialysis

·        Immunotherapy against thrombi (blood clots)

There is no generally binding therapy for sepsis. Instead, the course has to be stopped in individual cases through various treatment components.  digitalmarketingtrick

Rehabilitation after moderate to severe sepsis 

After surviving moderate to severe sepsis, rehab is recommended to return to everyday life after intensive medical treatment safely. It is essential to strengthen damaged nerve tracts and no longer function muscles with findings such as numbness and paralysis and make them fit again for work, school and study, and everyday life. Rehabilitation clinics focusing on neuropathies such as Critical Illness Polyneuropathy (CIP), which is common in severe sepsis, are suitable for this.

Your family doctor will advise you individually on choosing a suitable clinic for rehab after sepsis. The rehabilitation is to be carried out as an inpatient and, depending on the sequelae's severity, can take significantly longer than the usual 21 to 24 days. The focus is on occupational and physiotherapy as well as respiratory therapy. Health insurance providers (statutory and private) and pension insurance providers can be considered cost bearers to whom the rehab application is to be sent. A grant is also possible after the rehabilitation has been approved.

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