Sepsis is the body's overwhelming and life-threatening response to infection that can lead to tissue damage, organ failure, and death. In other words, it's your body's overactive and toxic response to an infection. Like strokes or heart attacks, sepsis is a medical emergency that requires rapid diagnosis and treatment.
Sepsis is fundamentally an inflammatory disease mediated by the host immune response. The innate immune response is facilitated by the activation of pattern recognition receptors (PRR) during early sepsis.
Sepsis induces a multitude of defects in immunity that cause protracted inflammation, immune suppression, susceptibility to infections, and death.
Evidence does suggest that for a period of time after recovery there is a heightened risk of repeat infection. Some sepsis survivors find that their immune system is not as effective in the year following their recovery.
Are there any long-term effects of sepsis? Many people who survive sepsis recover completely and their lives return to normal. However, as with some other illnesses requiring intensive medical care, some patients have long-term effects.
These long-term effects are sometimes called post-sepsis syndrome, and can include: feeling very tired and weak, and difficulty sleeping. lack of appetite. getting ill more often.
Patients with severe sepsis have a high ongoing mortality after severe sepsis with only 61% surviving five years. They also have a significantly lower physical QOL compared to the population norm but mental QOL scores were only slightly below population norms up to five years after severe sepsis.
In the worst cases, blood pressure drops, the heart weakens, and the patient spirals toward septic shock. Once this happens, multiple organs—lungs, kidneys, liver—may quickly fail, and the patient can die. Sepsis is a major challenge in hospitals, where it's one of the leading causes of death.
The organs more frequently affected are kidneys, liver, lungs, heart, central nervous system, and hematologic system. This multiple organ failure is the hallmark of sepsis and determines patients' course from infection to recovery or death.
Bacterial infections cause most cases of sepsis. Sepsis can also be a result of other infections, including viral infections, such as COVID-19 or influenza, or fungal infections.
A CRP is an acute phase reactant and a sensitive marker when an individual has sepsis. When there is an acute infection or inflammation, the concentration of CRP in the blood can be measured, which can be elevated as early as two hours after the triggering event, reaching peak values in 48 hours.
Sepsis can overwhelm the body. This can cause vital organs to shut down. This usually starts with the kidneys. Blood pressure can drop dangerously low.
Organ failure, including kidney failure, is a hallmark of sepsis. As the body is overwhelmed, its organs begin to shut down, causing even more problems. The kidneys are often among the first to be affected.
a high temperature (fever) or low body temperature. a change in mental state – like confusion or disorientation. slurred speech. cold, clammy and pale or mottled skin.
The Australian Sepsis NetworkExternal link reports that almost 5,000, of an estimated 18,000, Australians treated in an intensive care unit die each year as a result of sepsis.
What causes sepsis? Most sepsis is caused by bacterial infections, but it can also be caused by viral infections, such as COVID-19 or influenza; fungal infections; or noninfectious insults, such as traumatic injury.
If the infection has spread or you have a generalized infection, you may develop other signs and symptoms, such as fever, fatigue, pain, etc. Sometimes however, you may have an infection and not know it, and not have any symptoms.
Septic shock is the last and most severe stage of sepsis. Sepsis occurs when your immune system has an extreme reaction to an infection. The inflammation throughout your body can cause dangerously low blood pressure. You need immediate treatment if you have septic shock.
Most people recover from mild sepsis, but the mortality rate for septic shock is about 30% to 40%. Also, an episode of severe sepsis raises the risk for future infections.
Hospital mortality of patients with septic shock is more than 40% (2).
Septic shock, the most severe complication of sepsis, carries a high mortality. Septic shock occurs in response to an inciting agent, which causes both pro-inflammatory and anti-inflammatory immune system activation.
Complications of septic shock can include: inability of the lungs to take in enough oxygen (respiratory failure) the heart not being able to pump enough blood around the body (heart failure) kidney failure or injury.
Many sepsis survivors suffer from at least one aspect from post-sepsis syndrome, which is characterized by immune dysfunction, cognitive deficits, mental health problems, and cardiovascular/kidney disease, causing decreased quality of life and mortality.