Sepsis: diagnosis, treatment and prevention of sepsis

25 January 2018, 17:25 | Health 
фото с e-news.com.ua

Sepsis (infection of the blood) is a serious disease that occurs as a result of getting into the patient's blood a large number of pathogens, according to an Internet publication for girls and women from 14 to 35 years old Pannochka. net This is very dangerous especially against the background of reduced resistance.

Causes of sepsis.

The causative agents of sepsis can be various microorganisms, such as staphylococcus, salmonella, Pseudomonas aeruginosa and t. Sometimes sepsis occurs when several types of microbes enter the bloodstream at once.

The ways of infection during sepsis can be different:.

• Infection through the wound.

• Inhalation of infected particles.

• Alimentary route - with contaminated food.

• As a result of exacerbation of various internal infections.

The mechanism of sepsis development.

Usually, the infection first enters certain organs (entrance gates), where it forms the primary focus. From this focus, germs and their toxins enter the bloodstream and spread throughout the body. Long-term infectious process disrupts the reactivity of the patient's body.

The infection spread through a weakened organism can form numerous purulent foci in different organs, including the brain. A huge role in the onset of sepsis is played by a reduced resistance of the organism.

With sepsis, there are severe circulatory disorders, metabolic disorders, kidney damage, disseminated intravascular coagulation (ICE). Often sepsis ends with a lethal outcome.

Classification of sepsis.

Depending on the clinical course, the following types of sepsis are distinguished:.

• Acute sepsis: duration up to 3-4 weeks.

• Subacute sepsis: duration up to 3-4 months.

• Recurrent sepsis: accompanied by exacerbations and remissions.

• Chronic sepsis: duration over 1 year.

• Lightning sepsis: ends with death within 1-2 days.

Depending on the entrance gate of the infection and the location of the primary infectious focus, these types of sepsis are distinguished:.

• Wound sepsis.

• Intestinal.

• Pulmonary.

• Otogenic.

• Tonsilogenetic.

• Endocardial.

• Urogenital and others.

Clinical picture of sepsis.

With sepsis, the condition of patients is severe. In blood tests, leukocytosis, anemia, thrombocytopenia, a significant increase in ESR. In the urine, cylinders, erythrocytes and protein are found, which indicates the defeat of the kidneys.

Common manifestations of sepsis include:.

• Heat.

• Severe weakness.

• Headache.

• Lack of appetite.

• Pale skin.

• Rash, hemorrhages on the skin.

• Cardiopalmus.

• Low pressure.

• Shortness of breath.

• Liver enlargement.

• Increased spleen.

With the introduction of infection in the heart, signs of endocarditis and valve insufficiency are revealed. Possible purulent damage to the kidneys, brain, lungs, joints, bones, etc.. There may be thromboembolism in the brain, spleen, kidneys and other organs.

Complications of sepsis can be deadly. Among them:.

• Infectious-toxic shock.

• Cardiovascular failure.

• Renal failure.

• Liver failure.

• Thromboembolism.

• DIC-Syndrome.

Diagnosis and treatment of sepsis.

Rapid identification of a particular pathogen that caused sepsis is crucial for timely and correct treatment. For this, crops are most commonly sown to nutrient media. Samples are taken from purulent foci, sputum, rash elements.

Differential diagnostics is carried out with other diseases that start with similar symptoms - malaria, typhoid, brucellosis and t.

The main areas of treatment for sepsis are:.

• Broad-spectrum antibiotics in high doses.

• Removal of purulent infectious foci.

• Maintaining the vital functions of the body.

• Stimulation of body resistance.

• Detoxification therapy.

Prevention of sepsis.

To reduce the risk of sepsis:.

• Take into account vulnerability to infections of certain categories of people (children).

• Timely cure wounds, burns and other foci of infection (boils).

• Strictly adhere to the rules of asepsis during manipulations, such as injections, tooth extraction, catheterization, etc..

medbe. en.

По материалам: pannochka.net