Blood Poisoning: Causes, Symptoms, and
Treatment
Introduction
Blood poisoning, which is medically
termed as sepsis or septicemia is a life-threatening illness which transpires
when the body reaction to an infection gets out of hand resulting in rampant
inflammation, tissue destruction and organ failure. Without timely treatment,
sepsis may lead to septic shock, a serious condition that is lethal in most
cases.
It is important to know what causes
blood poisoning, the symptoms, and treatment in order to be able to detect it
early enough and treat it effectively. The article gives a detailed study of
sepsis, its risk factors, clinical presentation, diagnosis, and contemporary
methods of treatment.
What is Blood
Poisoning (Sepsis)?
Sepsis is not in itself an infection
but extreme response of the body to infection. In case of infection by
pathogens (bacteria, virus, or fungi), the immune system produces chemicals to
combat the infection when the pathogens enter the bloodstream. In sepsis,
however, these chemicals cause massive inflammation that results in:
·
Blood clot
development
·
Permeable blood
vessels
·
Dysfunctional
transportation of oxygen to the organs
·
Multi organ
failure
Sepsis may be caused by lung infection
(pneumonia), urinary tract infection (UTIs), abdominal infection
(appendicitis), skin infection (cellulitis), and surgical wound infection. It
is lethal without quick treatment.
Causes of Blood
Poisoning
Sepsis is a condition in which an
existing infection enters into the bloodstream. The top infections that result
in sepsis are:
1. Bacterial
Infections (Most Common Cause)
·
Pneumonia
(infection of the lungs)
·
Urinary Tract
Infections (UTIs) (infection of the kidney or bladder)
·
Infections of the
abdomen (appendicitis, peritonitis)
·
Skin Infections
(cellulitis, infected wounds)
·
Meningitis
(infection of the brain and the spinal cord)
2. Viral
Infections
·
Influenza (flu)
·
COVID-19 (the
severe cases)
·
Viral hepatitis
3. Fungal
Infections
·
Candidiasis
(yeast infections, particularly those in immunocompromised persons)
4. Other Sources
·
Post-surgical
infections
·
Contaminated IV
line or catheters
·
Untreated
infections of the teeth
Risk Factors for
Sepsis
Even though all people are susceptible
to sepsis, some people are more prone to it:
Medical
Conditions Increasing Sepsis Risk
·
Immunological (HIV/AIDS, chemotherapy of cancer patients)
·
Chronic
diseases (diabetes, kidney and liver diseases)
·
Recent
hospitalization or procedure
Recent operation
·
Serious
burns or Traumatic injuries
Age-Related Risk
Factors
·
Newborns and
infants (because of not fully developed
immune systems)
·
Older people (poor immune response)
Lifestyle and
Environmental Factors
·
Poor hygiene (increases risks of infection)
·
Untreated (delayed treatment of) infections
·
Use of
intravenous drugs (blood
infections exposure)
Symptoms of Blood
Poisoning
The symptoms of sepsis may manifest
existent to the source and seriousness of the infection and are likely to come
on quickly. The condition tends to be divided into three levels:
1. Early Signs of
Sepsis
·
Fever or
unnaturally low body temperature (hypothermia)
·
Fast beating of
the heart (tachycardia)
·
Tachypnea Rapid
breathing
·
Chills and
shivers
·
Fatigue and
confusion
2. Severe Sepsis
(Organ Dysfunction)
·
Hypotension
·
Reduced urine
formation (kidney failure)
·
Difficult
breathing (dysfunction of the lungs)
·
Dysfunctional
liver tests
·
Sudden confusion
or disorientation
3. Septic Shock
(Life-Threatening Stage)
·
Very low blood
pressure which is not responsive to fluids
·
Heart, lung,
kidney, liver multiple organ failure
·
Loss of
consciousness
·
The probability
of dying without the ICU is high.
Sepsis in Infants
and Children
·
Very high
temperature or very low temperature
·
Drowsiness or
waking up problems
·
Rapid
respirations or grunting
·
Blotched or pale
skin
Diagnosis of
Sepsis
The survival depends on early
diagnosis. A mix of clinical assessment, lab tests, and imaging is used by
doctors to verify the sepsis:
1. Blood Tests
·
Complete
Blood Count (CBC) - Tests the white
blood cells count is elevated (infection)
·
Lactate
Levels- An elevated level of lactate shows
deficient oxygen delivery (tissue hypoxia)
·
Blood
Cultures - Detects bacteria or fungi in the
blood streaming
·
C-reactive
Protein (CRP) and
Procalcitonin as indicators of serious infection
2. Imaging Tests
·
X-rays (in the case of pneumonia)
·
Abdominal
infections: ultrasound
(ultrasound)
·
CT Scan or MRI (to detect infections that are
deep-seated)
3. Other Tests
·
UTIs tests (urine)
·
In case of
suspicion of meningitis, lumbar puncture (LP)
Treatment of
Blood Poisoning
Sepsis is a life-threatening condition
that needs urgent hospitalization, and frequent patients are admitted to
Intensive Care Unit (ICU). The treatment is aimed at:
1. Antibiotics
and Antifungals
·
Broad-spectrum IV
antibiotics (initiated at once, modified in accordance with the results of the
culture)
·
Antifungal drugs
(in case of suspicion of fungus infection)
2. IV Fluids and
Vasopressors
·
Keeping blood
pressure with saline or lactate solutions
·
Fluids alone do
not stabilize blood pressure: vasopressor drugs (norepinephrine)
3. Oxygen and
Respiratory Support
·
Oxygen treatment
(low oxygen level)
·
Mechanical
ventilation (in case of lungs failure)
4. Source Control
·
Draining
abscesses
·
Elimination of
infected catheters
·
Infection of
surgical debridement of tissue
5. Supportive
Care
·
Dialysis (Kidney
failure)
·
Blood (in case of
bleeding)
·
Corticosteroids
(in some cases as an anti-inflammatory effect)
6. Experimental
and Adjunctive Therapies
·
Under research,
immunotherapy (under research)
·
Thiamine (some
publications indicate the positive effect in the treatment of sepsis) and
Vitamin C
Read Also: - Malaria Disease Control and Prevention
Recovery and
Long-Term Effects
The survivors of sepsis can be faced
with long-term complications, among which:
·
Post-sepsis
syndrome (fatigue, muscles weakness, cognitive deterioration)
·
Dysfunction
of the organs (kidney or lung damage)
·
Psychological
(PTSD, anxiety, depression)
Recovery is necessary through
rehabilitation, physical therapy and psychological support.
Prevention of
Sepsis
Early prevention and treatment of
infections is the best method of sepsis prevention:
Infection
Prevention Strategies
ü Vaccines (flu, pneumonia, COVID-19)
ü Correct wound treatment (washing cuts,
prevention of infections)
ü Hand hygiene (washing of hands regularly)
ü Immediate treatment of infection (antibiotics
on bacterial infections)
High-Risk
Individuals Should
ü Keep an eye out on early symptoms of sepsis
ü Special treatment in case of worsening of the
infection
Conclusion
Blood poisoning (sepsis) is a fatal
life-threatening condition that has to be treated. Early symptoms, including
fever, rapid breathing, and confusion, can be saved by being aware of them. The
key treatments of sepsis are antibiotics, IV fluids, and the care in an
intensive care unit, however, infection control is still the most effective
method of prevention.
In case you or someone experiences
symptoms of sepsis, you should immediately call emergency care services, as
every hour matters when it comes to survival.
Key Takeaways
·
Sepsis is a
life-threatening reaction to infection.
·
The most
common causes are pneumonia, UET and skin infections.
·
The effects
are fever, tachycardia, confusion and organ failure.
·
Diagnosis by
blood tests and imaging is very important in early stages.
·
Antibiotics,
fluids and ICU are used in the treatment.
·
Prevention
encompasses immunization, cleanliness and early treatment of infection.
Through knowing sepsis, we are able to
respond quickly and save lives and the number of long-term complications. Be
updated and take care to keep yourself and your loved ones safe by controlling
infections.
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