Epidemiology Of Sepsis Essay

Improved Essays
Epidemiology of sepsis: Sepsis represents a clinical syndrome in which both body’s immune and coagulation systems react to an infection1.It remains an ongoing challenge and one of the commonest causes of morbidity and mortality worldwide2. Although we have improved our understanding of its pathophysiology, it causes most of the hospitalizations and admissions to ICU3. Sepsis is fatal and costly, it is considered the 10th leading cause of death in the US4, and WHO also reported that more than 1 million in the US are affected with sepsis and half of them lose their lives5. Every year in the US, sepsis accounts for over 750,000 hospitalizations, 215,000 deaths and $16.7 billion in health care expenses6. Furthermore, sepsis is …show more content…
Additionally, the more recent research found that sepsis contributes to between one third to one-half of mortalities in the US hospitals, most of them reached hospitals with sepsis and didn’t acquire it in the hospital13. There is a notable paucity in the data that describes the global epidemiology of sepsis14, one of the reasons is the problem that sepsis is rarely mentioned in the statistics of the global burden of disease15, the most recent report attributed death to the original infection that caused sepsis with ignorance of the fact that infections result from sepsis cause many deaths, not the infection itself15. However, Short-term and long-term morbidity and mortality associated with sepsis is still a major public health concern16. Surprisingly, population-level epidemiological records of sepsis have still not yet been comprehensively studied17.All the available records come from high-income countries which is a problem as high-income countries represent only 13% of the world

Related Documents

  • Improved Essays

    Septic Shock Case Studies

    • 566 Words
    • 3 Pages

    The presence of micro-organisms can confirm sepsis. Septic shock is caused by gram negative bacteria, gram positive bacteria and fungal infections. Due to CC compromised condition he may not be able to resist the infection. To confirm the infection, clotting problems, abnormal liver and kidney function tests, impaired oxegynation, electrolyte imbalances, it is best to do blood tests and cultures. The results of the blood tests, wound cultures and white blood count can specify the type of the microorganism present in the blood.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Sepsis Case Study Examples

    • 5681 Words
    • 23 Pages

    According to Schouten et al (2008), sepsis involves the activation of the coagulation cascade coupled with down-regulation of anticoagulation and fibrinolysis. An intricate link between inflammation and coagulation exists within the body (Neligan, 2006). When a pathogen is present in the bloodstream or when tissue injury occurs, an inflammatory response occurs. The response causes a stimulation of the immune system to produce interleukin-1 (IL-1), interleukin-6 (IL-6) and tumor necrosis factor alpha (TNFα) (Neligan, 2006). These cytokines are the main catalysts of the inflammatory response and cause the release of several agents including, interleukin-8, histamine, kinins, serotonin, selectins, and neutrophils.…

    • 5681 Words
    • 23 Pages
    Great Essays
  • Decent Essays

    Public Awareness: It is amazing to recognize that the third leading cause of death in the US, sepsis, is not known by 50% of the US population. However, 80%+ of sepsis patients present to hospital ERs, often at the end stage of their medical condition, where mortality increases at 8% per hour. In August 2016 C4SS initiated a twelve-month Public Service Announcement program that is airing on over 230…

    • 415 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Sepsis Case Studies

    • 1764 Words
    • 8 Pages

    Severe sepsis is diagnosed when the aforementioned are combined with end organ damage, as found by the presence of lactic acidosis, a systolic blood pressure less than 90, or a drop in blood pressure more than 40 mmHg from normal. Septic shock is the last and most severe category, defined as severe sepsis, with continuing hypotension despite an adequate level of fluid resuscitation. Spontaneous bacterial peritonitis (SBP) is generally suspected in cases when a patient has ascites as well as a history of cirrhosis. In addition, the symptoms of altered mental status, fever, diarrhea, abdominal inflammation, and hypotension are usually present.…

    • 1764 Words
    • 8 Pages
    Great Essays
  • Great Essays

    Having early detection of severe sepsis will decrease mortality rate and length of stay (LOS) within the facility and give the patient the best quality of care. The tools that will increase early detection of severe sepsis is the use of clinical decision support (CDS), a Sepsis cloud and the use of the computerized physician order enter (CPOE) with Clinical decision…

    • 1943 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Sepsis: A Case Study

    • 986 Words
    • 4 Pages

    Severe sepsis is associated with organ dysfunction, hypotension, and hypoperfusion. Along with the previous symptoms lactic acidosis, oliguria, or acute alteration in mental status are evident (Wagner & Hardin-Pierce, 2014, table 36-8). Septic shock is associated with hypotension despite fluid resuscitation, and the other manifestations already mentioned (Wagner & Hardin-Pierce, 2014, table 36-8). As sepsis worsens the patient’s extremities will be cold and mottling may be present, lactate levels rise, and ScvO2 decreases (Wagner & Hardin-Pierce, 2014, p.…

    • 986 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    “To Catch a Bombmaker” written by Clay Dillow was featured in the November 2015 issue of Popular Science. Popular Science is a magazine that publishes various articles on the subjects of science and technologies that are evolving. It is informative yet easy to read. This was mainly an informative article so that he could share the story, but could also be found entertaining, if the reader enjoys reading things about scientific projects/happenings. In this article Dillow does a good job at answering the key question/statement from the beginning to end.…

    • 937 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    “The Center for Disease Control and Prevention (CDC) said there were more than 136 million visits to emergency rooms in 2012. While the American College of Emergency Physicians reports that 92% of emergency visits are from “very sick people who need care within 1 minute to 2 hours,” the National Hospital Ambulatory Medical Care Survey estimates that one-third to one-half of all ER visits are for non-urgent care. The New England Health Institute said 56% of emergency room visits were “totally avoidable.” It didn’t say how much of the remaining 44% could have been treated at urgent care centers, but several studies suggest many of these cases could have been handled in urgent care. In fact, the top three reasons for ER visits in 2012 were sprains and strains (6.1 million visits), upper respiratory infections (5.9 million) and superficial cuts (5.8 million).…

    • 2019 Words
    • 9 Pages
    Superior Essays
  • Great Essays

    Sepsis Research Paper

    • 1338 Words
    • 6 Pages

    The increase in the mortality rate among the victims of the disease has been related to the lack of knowledge among people about the disease and use of inefficient techniques in identification of the signs, symptoms and intervention SEPSIS AND WHAT I WOULD CHANGE 6 measures. Even after recuperation, sepsis survivors are still likely to suffer from other diseases due to weakened immune systems. The sepsis bundle is a good place to start, but by not trying to drive down lactic acid levels by administering oxygen and allowing the body to use the lactic acid it is producing for fuel during a sepsis crisis patients may have better responses and outcomes to therapy…

    • 1338 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Sepsis Case Studies

    • 1457 Words
    • 6 Pages

    Introduction Sepsis is a life-threatening condition that carries a high mortality rate if not recognised early and treated promptly (Vaughan & Parry 2016). Registered nurses (RNs) are responsible for early identification of sepsis or septic shock, which enables them to provide timely and effective care to minimise deterioration of the patient’s condition and reduce mortality (Carlson 2016). This paper will discuss the pathophysiology relevant to Mrs Hayes’s current health condition, patient assessment using the Emergency Care Cycle (ECC) Framework, prioritization of nursing care, and discharge planning. Pathophysiology Mrs Hayes’s preoperative and current observations indicate that she may have postoperative sepsis, or severe sepsis, and is at risk of developing septic shock. Sepsis refers to a serious condition caused by a failure of the body’s immune response to infection (Singer et al. 2016).…

    • 1457 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Esbl Case Studies

    • 362 Words
    • 2 Pages

    Sepsis, a common origin of pediatric morbidity and mortality, which is a systemic inflammatory response (SIR) to infection. Children with septicemia diagnosed by fever, hard breathing, tachycardia, malaise, inability to eat or lethargy, but those with asymptomatic bacteraemia tend to appearance of no obvious signs of infection. Deaths happened as result of pediatric septicemia are likely to be greater in low-income settings. In hospital setting, the ratio of septic infections due to gram-negative bacteria (GNB) ranges between 30% and 80% where infections because of gram-positive bacteria ranges between 6% and 24%. Rapid diagnosis and effective treatment is essential to prevent death and complications or consequences from septicaemia.…

    • 362 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Though, post-operative sepsis has remained refractory to this initiative. Therefore, Giuliano, Lecardo, and Staul (2011) statistics regarding prompt treatment outlined by the SSC decreasing sepsis mortality by virtually 16% becomes imperative. Dellinger et al. (2013) evidence-based diagnostic criteria for the SSC includes general (temperature, tachypnea, tachycardia, etc.) , inflammatory (altered WBC counts), hemodynamic (low blood pressure, map, etc.), organ dysfunction (creatinine, ileus, oliguria, etc.), and tissue perfusion (lactate, decreased capillary refill) signs and symptoms, and was developed from systematic review of randomized controlled trials.…

    • 2074 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Health care-acquired infection (HCAI) is a foremost problem for patient safety and its surveillance. Prevention of HCAI has got to be the first main concern for settings and institutions dedicated to making health care safer. The impact of HCAI implies extended hospital stay, long-term disability, increased antimicrobials resistance of microorganisms, massive extra economic load, high expenses for patients and their families, and excess mortalities ( Boyce J., 2009). In the USA, 10%, or 2 million, patients a year become infected (HCAI), with the annual cost ranging from $4.5 billion to $11 billion. The most frequent type of infection hospital-wide is urinary tract infection (36%), followed by surgical site infection (20%), and bloodstream infection and pneumonia (both 11%)(World Health Organization, 2009).…

    • 678 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Healthcare associated infections (HAIs) are a worldwide patient safety issue. HAIs are defined as infections that patients can get while receiving treatments in healthcare settings (CDC,2014). Central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), catheter-associated urinary tract infection (CAUTI) and surgical site infection are known as most common types of HAIs (CDC, 2014). 30% of intensive care unit (ICU) patients are affected by one HAI (WHO, n.d). Despite the great progress on reducing some infection types, there is still much effort needing to be accomplished (CDC, 2016).…

    • 227 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    The Intelligent Investor

    • 780 Words
    • 4 Pages

    The author proved this by explaining how doctors determine to admit patients to the intensive care unit (ICU). Studies conducted have shown “approximately twenty thousand patients die every year from hospital-transmitted illness” (Montier 77). A hospital in Michigan reported ninety percent of patients who did not even need to be admitted to the ICU were admitted. Researchers found the doctors were looking at the wrong factors to admit patients to the ICU.…

    • 780 Words
    • 4 Pages
    Decent Essays