Below you'll find a list of all posts that have been tagged as “Sepsis”
Sepsis is the body’s overwhelming and life-threatening response to infection, which can lead to tissue damage, organ failure, and death. While sepsis can impact anyone, including the sick, and people of all ages, some groups are more likely to be affected including older adults and those with weakened immune systems. What are the signs of sepsis? A person with sepsis …
Sepsis is a word every healthcare provider fears, it sends chills up your spine, right? We have been trained to be alert to signs and symptoms of sepsis and follow the recommendations of the CDC. That said, there are many experts in the field of infectious disease who disagree with the quality measure known as “Severe Sepsis and Septic Shock: …
In 2013 the National Quality Foundation (NQF) endorsed the Severe Sepsis and Septic Shock: Management Bundle (SEP-1) and it was implemented by the Centers for Medicare and Medicaid Services (CMS) in October 2015, requiring emergency rooms to follow the process. The measure has seven basic elements that guide clinicians in the treatment of patients brought to the emergency room with …
We all know our residents are at a higher risk for sepsis due to compromised immune systems and comorbidities, but what if we could prevent even one case of sepsis? Recently, 10 post-acute care independent facilities in New York state initiated a sepsis quality improvement program with amazing results! Overall, sepsis hospitalizations in this group decreased by 22.8% with a …
In October 2015, Medicare initiated a requirement that all hospitals report their adherence to the Severe Sepsis and Septic Shock Early Management Bundle (SEP-1). The SEP-1 is also referred to as the “hour-1 bundle” that encourages clinicians to act as quickly as possible to obtain blood cultures, administer broad spectrum antibiotics, start appropriate fluid resuscitation, measure lactate, and begin vasopressors …
Sepsis is defined as a severe condition derived from a primary infection site. In patients with sepsis, as a rule, a primary infected focus should be investigated, and treatment must be performed in accordance with the site of infection and condition. As the most important point, physicians must consider the start of antimicrobial chemotherapy for sepsis, fatal organ failure, in …
Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection that can be bacterial, fungal, protozoal, or viral in origin, including the virus that causes COVID-19 infection. SARS-CoV-2 infections frequently leads to organ dysfunction that is similar to that seen in forms of sepsis and other pathogenic organisms. There are clinically relevant differences between manifestations of …
Sepsis is a frequent cause of morbidity and mortality among nursing home residents. A study published in JAMDA used a sample of 31 nursing homes with characteristics similar to nursing homes nationally. The study identified several issues around documentation of active surveillance and medical oversight that may have hindered early detection of sepsis. Particularly noteworthy was the absence of documentation …
In the 1980s and 1990s, several approaches were developed to counteract what were thought to be important microbial and host mediators in the development of sepsis and septic shock with the goal of reducing mortality. These efforts proved to be unsuccessful in reducing mortality related to sepsis and septic shock. Because of these failures, the focus changed to identifying patients …
In a recent article in Science Translational Medicine, January 2020, a study regarding the need for improved treatments for wound healing identified a product that may actually reduce inflammation and infection. This product is not yet on the market but should give us reason to pause. Wouldn’t the world be a better place if residents with wounds could be free …
