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Children's Health: Sepsis


Sepsis has been prominent in the headlines recently. It sounds dramatic and unfortunately it often is. But what is it?


Sepsis occurs when bacteria invade into the blood stream, which then can cause organs to fail. When this occurs patients can suddenly become very poorly indeed.


There are around 123,000 cases of sepsis a year in England. Around 37,000 people die every year as a result of the condition. Anyone can develop sepsis after an injury or minor infection, although some people are more vulnerable.


Those more at risk of sepsis are those:


• with a medical condition or receiving medical treatment that weakens their immune system • who are already in hospital with a serious illness • who are very young or very old


• who have just had surgery or who have wounds or injuries as a result of an accident.


Spotting sepsis early is crucial. Signs of sepsis in children under fi ve years are:


• very lethargic, diffi cult to wake • breathing fast


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• rash which does not fade when pressed • feeling very cold


• blueness or mottling of skin. In older children the signs include:


• a high temperature (fever) or low body temperature • chills and shivering • a fast heartbeat • fast breathing


• confusion or slurred speech • sore muscles


• pale or mottled skin.


Children with these signs and symptoms need urgent assessment. The only treatment for sepsis is early antibiotics. They may also need supportive treatment in hospital as organ recovery takes place. Do not delay, sepsis is very much a race between us and bacteria.


Dr Mark Bridgman Hadleigh Lodge Surgery www.thehadleighpractice.nhs.uk


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