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February 7, 2012
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Sepsis (Blood Infection)

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Sepsis Prognosis

Are there any long-term effects of sepsis?

Many people who survive severe sepsis recover completely and their lives return to normal. But some people, especially those who had pre-existing chronic diseases, may experience permanent organ damage. For example, in someone who already has kidney impairment, sepsis can lead to kidney failure that requires lifelong dialysis.

There is also some evidence that an episode of severe sepsis disrupts a person's immune system, making him or her more vulnerable to future infections. Studies have shown that people who have experienced sepsis have an increased risk of dying, even several years after the episode.

SOURCE:

National Institute of General Medical Sciences

Sepsis Overview

Sepsis is a condition in which the body is fighting a severe infection that has spread via the bloodstream. If a patient becomes "septic," they will likely have low blood pressure leading to poor circulation and lack of perfusion of vital tissues and organs. This condition is termed "shock." This condition can develop either as a result of the body's own defense system or from toxic substances made by the infecting agent (such as a bacteria, virus, or fungus).

People at Risk for Sepsis

  • People whose immune systems (the body's defense against microbes) are not functioning well because of an illness (such as diabetes or AIDS) or because of medical treatments (such as chemotherapy for cancer or steroids for a number of medical conditions) that weaken the immune system are more prone to develop sepsis. It is important to remember that even healthy people can become septic.


  • Because their immune systems are not completely developed, very young babies may get sepsis if they become infected and are not treated in a timely manner. Often, if they develop signs of an infection such as fever, infants have to receive antibiotics and be admitted to the hospital. Sepsis in the very young is often more difficult to diagnose because the typical signs of sepsis (fever, change in behavior) may not be present or may be more difficult to ascertain.


  • The elderly population, especially those with other medical illnesses such as diabetes, may be at increased risk as well.

The number of people dying from sepsis has almost doubled in the past 20 years. This is most likely due to the increased number of patients who suffer from sepsis. The number of patients who develop sepsis has increased for many reasons.

  • There has been a large increase in sepsis because doctors have started treating cancer patients and organ-transplant patients, among others, with strong medications that weaken the immune system. In the past, these patients would have died due to complications of their disease. As we get better at treating the underlying illness, patients survive longer but then sometimes die due to the complications of the therapy.


  • Because of our aging population, the number of elderly people with weak immune systems has grown.


  • Because antibiotic use has increased, many strains of bacteria have become resistant to antibiotics, making the treatment of sepsis more difficult in some cases.
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HIV/AIDS Overview

HIV (human immunodeficiency virus) infection has now spread to every country in the world. Statistics show that approximately 40 million people are currently living with HIV infection, and an estimated 25 million have died from this disease. The scourge of HIV has been particularly devastating in sub-Saharan Africa and South Africa, but infection rates in other countries remain high. In the United States, approximately 1 million people are currently infected. Here are a few key points about the disease:

  • Globally, 85% of HIV transmission is through heterosexual intercourse.
  • In the United States, approximately one-third of new diagnoses appear to be related to heterosexual transmission. Male-to-male sexual contact still accounts for more than half of new diagnoses in the U.S. Intravenous drug use contributes to the remaining cases. Because the diagnosis may occur years after infection, it is likely that a higher proport...

Read the HIV/AIDS article »


Read What Your Physician is Reading on Medscape

Sepsis, Bacterial »

Sepsis is a clinical term used to describe symptomatic bacteremia, with or without organ dysfunction.

Read More on Medscape Reference »

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