Early symptoms of sepsis?

summary

Septicemia refers to the acute systemic infection caused by pathogenic bacteria or conditional pathogenic bacteria invading the blood circulation, growing and reproducing in the blood and producing toxins. If the bacteria invading the blood stream are cleared by the body's defense function, and there is no obvious symptom of toxemia, it is called bacteremia. Sepsis with multiple abscesses and a longer course of disease is called sepsis. Early symptoms of sepsis? Let's talk about it

Early symptoms of sepsis?

The primary focus is usually skin furuncle or wound infection. A few of them are nosocomial infections with poor body resistance. Most of the bacteria in their blood come from the respiratory tract. The clinical onset is acute. The rash is characterized by ecchymosis, urticaria, purulent herpes and scarlet fever like rash. Ecchymosis on conjunctiva is of great significance. Joint symptoms are obvious, sometimes redness, but suppuration is rare. Migratory damage can appear in about 2 / 3 patients. The most common is multiple lung infiltration, abscess and pleurisy, followed by purulent meningitis, renal abscess, liver abscess, endocarditis, osteomyelitis and subcutaneous abscess. Septic shock is rare.

Staphylococcus epidermidis septicemia: it is more common in hospital infection. When patients are treated with broad-spectrum antibiotics, it is easy to form drug-resistant strains (with methicillin-resistant strains). The number of bacteria in respiratory tract and intestinal tract increases significantly, which can lead to systemic infection. It is also common after interventional treatment, such as artificial joint, artificial valve, pacemaker and various catheter indwelling.

Enterococcal septicemia: opportunistic bacteria of enterococci, which mainly parasitic in the intestinal and urinary system, and its incidence rate has increased in the past 30 years. The most common clinical manifestations are urinary tract infection and endocarditis. Meningitis, osteomyelitis, pneumonia, enteritis and skin and soft tissue infections can also be seen.

matters needing attention

The patients with sepsis have poor constitution and severe symptoms, and their condition needs to last for a period of time. Therefore, in addition to the application of specific antibacterial treatment, we should also pay attention to supplement various vitamins, energy mixture, even small amount of human albumin (albumin), plasma or fresh whole blood for many times to supplement the body consumption, supply energy, strengthen nutrition and support organ function, Correct the disorder of water and electrolyte in time, keep acid-base balance and maintain the stability of internal environment. When there are severe toxemia such as shock and toxic myocarditis, pressor, cardiotonic and / or short-term adrenocortical hormone can be given. Fever, severe headache and restlessness can be given antipyretic and sedative. It is necessary to strengthen nursing and pay attention to prevent secondary stomatitis, pneumonia, urinary tract infection and pressure sore.