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Early identification and treatment of sepsis

Sepsis is a medical emergency. Early identification and treatment are essential but many health staff are unable to recognise its signs and symptoms

IN THIS ARTICLE…
Anatomy of sepsis

Signs and symptoms that can help professionals identify sepsis
Effective sepsis management strategies

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Sepsis is a potentially fatal condition and is becoming increasingly frequent, yet health professionals are often unable to recognise its symptoms. It is the body’s exaggerated response to infection and, if left untreated, will lead to severe sepsis, multi-organ failure and death. Nurses play a vital role in identifying patients with sepsis and starting essential treatment. This article looks at how sepsis can be identified and effectively treated to improve survival.

5 KEY POINTS

Sepsis is one of the leading causes of death in hospital patients worldwide and severe sepsis causes around 37,000 deaths in the UK every year (Daniels, 2011). This is more than breast and bowel cancer combined, yet awareness of the condition remains limited. Despite various campaigns and the availability of good evidence for treatment, the death rate associated with sepsis remains high, mainly due to poor identification and delayed interventions.

Defined as “a life-threatening condition that arises when the body’s response to infection injures its own tissues and organs” (Czura, 2011), sepsis can present in any patient and in any clinical setting. As such, all nurses need to be aware of its development, how it can be identified and the care patients need to survive. This article discusses the pathophysiological changes caused by sepsis, how these present in patients and how best to manage sepsis to prevent death or long-term disability.

Chege and Cronin (2007) described early evidence of treatment for sepsis as existing as far back as the early Chinese emperors. However, it was not until 1991 that definitions of sepsis were agreed and later published (Box 1) (Bone et al, 1992). These underpin more recent research and guidance from leading campaign groups such as the Surviving Sepsis Campaign (SSC) and Global Sepsis Alliance. SSC - a partnership of international critical care, medical and emergency care societies - aims to raise awareness and provide guidance based on the best available evidence. In the UK, SSC guidance is being changed to improve both the identification of patients at risk of developing severe sepsis and the delivery of early treatment.

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