Intervention in the First Hours of Sepsis Saves Lives

Intervention in the First Hours of Sepsis Saves Lives
Intervention in the First Hours of Sepsis Saves Lives

Yeditepe University Kozyatağı Hospital Anesthesia and Reanimation Department Intensive Care Specialist Prof. Dr. Sibel Temür gave information about her sepsis.

Defining sepsis as a life-threatening disease state that leads to organ dysfunction with the abnormal response of our immune system to infection, Temür said, “Age groups where the immune system is not good, people under the age of 1, people over the age of 65, those who have had their spleen removed, those with chronic diseases (lung, heart, kidney disorders), diabetics and people diagnosed with AIDS are among the risk groups for sepsis.

Sepsis can be triggered by all possible pathogen-induced infections such as bacteria, viruses, fungi, parasites. For this reason, the responses were very sad in those whose immune system was not good during the viral pandemic. 2 years ago, pre-pandemic data was 30 million sepsis diagnoses per year, while this figure reached 47-50 million after the pandemic.

In addition, he pointed out that antibiotic resistance, which has become an important problem for the whole world in recent years, also affects sepsis negatively. Dr. Sibel Temür explained the following on the subject:

“Antibiotic resistance increases with the inappropriate use of antibiotics in terms of variety, amount and duration. We are left with no weapons to fight bacterial infections. Viruses are very smart and resistance to antivirals is developing much faster, new variants are emerging. The development of resistance negatively affects the treatment in sepsis. Unfortunately, Turkey ranks first among European countries in resistance to antibiotics. This poses a separate risk for sepsis.”

Stating that the symptoms of sepsis differ according to the focus of infection, systemic symptoms that concern the whole body occur in the patient. Dr. Sibel Temür listed the symptoms of the disease as follows:

“Symptoms that patients confuse with many different problems include: fever, drowsiness and slurred speech, regression in neurological status, extreme chills, muscle pain, severe shortness of breath, respiratory rate above 22 per minute, decreased blood pressure, inability to urinate all day long, pale, spotted, discolored skin and feeling like you are going to die.

Cases that survived after sepsis; He has to reapply to health institutions with physical problems, cognitive disorders, recurrent infections or sepsis-related chronic organ failures after discharge. Although the rate of re-admissions to the health institution varies in various studies, it is observed above 50%.”

Saying "Sepsis is the most preventable cause of death in the world", Yeditepe University Kozyatağı Hospital Anesthesia and Reanimation Department Intensive Care Specialist Prof. Dr. Sibel Temür continued her words as follows:

“It can be prevented by sanitary measures such as vaccination, access to clean sanitation facilities, clean water, and above all by raising awareness. If an infection has caused sepsis, it must be recognized quickly and the source of the infection treated with antibiotics. Early treatment of infections and early recognition of sepsis saves lives. Sepsis is a medical emergency, which is very important to know as awareness. Emergency intervention in the first hours and starting early antibiotic treatment by taking culture can reduce the losses from sepsis from 70% to 20%.”

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