Septicemia symptoms?

summary

Systemic infection caused by pathogenic bacteria invading the blood circulation, growing and reproducing in it and producing toxins is easy to occur when the human body's resistance is reduced. The main clinical manifestations were shivering, high fever, toxemia, rash, joint pain, hepatosplenomegaly, septic shock, migratory lesions and so on. There were Gram-positive coccal sepsis, gram-negative bacilli sepsis and sepsis. Septicemia symptoms? Let's talk about it

Septicemia symptoms?

Sepsis itself has no special clinical manifestations. The manifestations seen in sepsis can also be seen in other acute infections. For example, most of the patients have a sudden onset, first have chills or chills, followed by high fever, uncertain heat type, flaccid fever or missed fever; Weak, severe malnutrition and small infants may have no fever or even lower body temperature than normal. The spirit is dispirited or restless, serious person can appear complexion is pale or blue gray, delirious. Cold extremities, shortness of breath, faster heart rate, lower blood pressure, infants can also appear jaundice.

Some children can see all kinds of skin damage, with ecchymosis, ecchymosis, scarlet fever like rash, urticaria like rash common. Meningococcal septicemia showed ecchymosis or ecchymosis of different sizes; Scarlet fever like rash is common in Streptococcus, Staphylococcus aureus septicemia. Gastrointestinal tract often vomiting, diarrhea, abdominal pain, and even hematemesis, hematochezia; Severe cases may appear toxic enteroparalysis or dehydration, acidosis. Most of them were infants and young children with mild or moderate swelling; Some children may have toxic hepatitis; When Staphylococcus aureus migration damage causes liver abscess, liver tenderness is obvious. Some children may have joint swelling and pain, dyskinesia or joint cavity effusion, more common in large joints.

Severe children are often accompanied with myocarditis, heart failure, blurred consciousness, drowsiness, coma, oliguria or anuria and other symptoms of parenchymal organ involvement. Staphylococcus aureus septicemia often has multiple migratory lesions; Gram negative bacteria septicemia is often complicated with shock and DIC. Ecchymosis, ecchymosis, pus, cerebrospinal fluid, hydrothorax and ascites can also be directly smeared, microscopic examination to find bacteria.

matters needing attention

For high-risk patients prone to sepsis, we should closely observe the changes of the condition. Once there are signs of sepsis or suspected condition, we should actively check and deal with it decisively. Do a good job in disinfection and isolation of baby room, operating room, surgical ward and patients with immunodeficiency, in order to prevent cross infection caused by pathogenic bacteria. Patients in burn ward and hematological diseases should be strictly isolated when receiving chemotherapy or bone marrow transplantation; In order to prevent the spread of drug-resistant staphylococcus aureus, Pseudomonas aeruginosa and fungi, it is necessary to strengthen the disinfection and isolation measures in the wards with or without septicemia. Staff with chronic Staphylococcus aureus carriers should be temporarily transferred out of the ward and treated to protect patients with low resistance from infection. Immunopotentiator can be considered for some patients.