What is Sepsis?

Sepsis is the body’s extreme reaction to an untreated infection. It is a life-threatening emergency. The body attacks its own organs and tissues, which can lead to tissue damage, organ failure, and death. However, sepsis can be treated with antibiotics and fluids if diagnoses early. An estimated 11 million people die from sepsis each year, which implies that sepsis is the leading cause of death at intensive care units in the EU.

Symptoms of Sepsis
The symptoms of sepsis can vary depending on the stage of the condition and the underlying cause, but some common signs and symptoms may include:
• Fever or low body temperature
• Rapid heart rate or breathing
• Confusion or disorientation
• Extreme fatigue or weakness
• Chills or shivering
• Reduced urine output
• Abdominal pain, nausea or vomiting
• Skin rash or discoloration
• Difficulty breathing
• Low blood pressure
• Elevated white blood cell count
• Elevated lactate levels

Sepsis and septic shock occur when an unidentified or untreated infection, spreads to the blood stream. Bacterial infections, such as wounds, including cuts and scrapes, urinary tract infections, pneumonia, dental infections and post-operative infections can all lead to sepsis, as can viruses, including COVID-19.

Risk Factors
Sepsis can impact anyone–young or old, sick or healthy. The greatest risk factor is infection. Those with increased risk of infection include:
• People with chronic illnesses such as diabetes
• Those with weakened immune systems
• The elderly
• Infants

Sepsis is diagnosed by a medical professional following a physical examination, evaluation of medical history and blood tests.

Sepsis is a medical emergency. Early diagnosis and treatment significantly increases one’s chances of survival. Sepsis is treated with antibiotics and IV fluids. In most cases broad-spectrum antibiotics will be administered. Once blood tests have been performed, antibiotics that target the particular strain of bacterium responsible for the infection may be used.

The risk of developing sepsis can be reduced by practicing good hygiene, including washing hands regularly, caring for even minor cuts and scrapes using basic first aid techniques (especially keeping wounds clean), and by staying up to date on vaccinations.
Sources: https://www.endsepsis.org/what-is-sepsis/  and  Rudd et al, the Lancet, 395(10219):200-211, 2020

Important links
World Health Organisation on Sepsis 
Deutsche Sepsis-Gesellschaft 
France Sepsis Association 
FCIC/IC Connect