Definition of Sepsis

sep•sis (ˈsep-səs) n. Sometimes called blood poisoning, sepsis is the body's often deadly response to infection.

Medical professionals have been debating the exact definition of sepsis for decades. However, one thing they can agree upon is the origin of the disease. The word sepsis comes from the Greek meaning “decay” or “to putrefy.” In medical terms, sepsis is defined as either “the presence of pathogenic organisms or their toxins in the blood and tissues” or “the poisoned condition resulting from the presence of pathogens or their toxins as in septicemia.”

 

Patients are given a diagnosis of sepsis when they develop clinical signs of infections or systemic inflammation; sepsis is not diagnosed based on the location of the infection or by the name of the causative microbe. Physicians draw from a list of signs and symptoms in order to make a diagnosis of sepsis, including abnormalities of body temperature, heart rate, respiratory rate, and white blood cell count. Sepsis may be diagnosed in a 72-year-old man with pneumonia, fever, and a high white blood cell count, and in a 3-month-old with appendicitis, low body temperature, and a low white blood cell count.

Sepsis is defined as severe when these findings occur in association with signs oforgan dysfunction, such as hypoxemiaoligurialactic acidosis, elevated liver enzymes, and altered cerebral function. Nearly all victims of severe sepsis require treatment in an intensive care unit for several days or weeks. While most cases of sepsis are associated with disease or injury, many events follow routine, even elective surgery.

The Merinoff Symposium 2010: Sepsis hosted a gathering of international experts, where they discussed the issues surrounding sepsis, including a global definition and a declaration that sepsis is a medical emergency. The public definition was defined as:

"Sepsis is a life threatening condition that arises when the body's response to an infection injures its own tissues and organs. Sepsis leads to shock, multiple organ failure and death especially if not recognized early and treated promptly. Sepsis remains the primary cause of death from infection despite advances in modern medicine, including vaccines, antibiotics and acute care. Millions of people die of sepsis every year worldwide."

Sepsis can rage in response to incidents as seemingly benign as a playground scrape or a nicked cuticle from the beauty parlor.

Sepsis has been named as the expensive in-patient cost in American hospitals in 2011 at over $20 billion each year. Forty percent of patients diagnosed with severe sepsis do not survive. Until a cure for sepsis is found, early detection is the surest hope for survival. Up to 50% of survivors suffer from post-sepsis syndrome.