SepsisSSepsisSepsisEnglishInfectious DiseasesChild (0-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2017-07-19T04:00:00Z9.5000000000000053.6000000000000730.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Sepsis occurs when a local infection spreads to the entire body. Find out what causes sepsis and how sepsis is treated. </p><h2>What is sepsis?</h2><p>Sepsis is a serious condition that occurs as a complication of a severe local infection (an infection affecting one part of the body). If left untreated, sepsis can damage the body’s organs, for example the <a href="https://pie.med.utoronto.ca/htbw/module.html?module=bladder-child">kidneys</a>, liver, <a href="https://pie.med.utoronto.ca/htbw/module.html?module=lung-child">lungs</a> or <a href="https://pie.med.utoronto.ca/htbw/module.html?module=brain-child">brain</a>, and possibly lead to death.</p> <figure class="asset-c-100"><span class="asset-image-title">Development of sepsis</span> <img alt="Illustration of the development of sepsis from local infection to organ damage and death, if left untreated" src="https://assets.aboutkidshealth.ca/akhassets/sepsis_development_EN.jpg" /> <figcaption class="asset-image-caption">Sepsis is most often caused by bacteria but can also be caused by viral or fungal infections.</figcaption> </figure><h2>Key points</h2> <ul> <li>Sepsis can occur as a complication of a severe infection, and is caused by the body’s immune response to the infection.</li> <li>Signs and symptoms of sepsis include common infection symptoms along with a fast heart rate, fast breathing, low blood pressure, pale or patchy skin, excessive sleepiness or disorientation.</li> <li>If your child is showing signs or symptoms of sepsis, they are treated right away even if the diagnosis is not yet confirmed through blood tests. Initial treatment includes antibiotics, intravenous fluids and/or oxygen.</li> <li>Regular hand washing and routine immunizations can help prevent some causes of sepsis.</li> </ul><h2>What are the signs and symptoms of sepsis?</h2> <p>A child with sepsis may display typical signs of an infection, including <a href="/Article?contentid=30&language=English">fever</a>, <a href="/Article?contentid=774&language=English">cough</a> or <a href="/Article?contentid=7&language=English">diarrhea</a>, along with:</p> <ul> <li>a <a href="/Article?contentid=894&language=English">fast heart rate</a></li> <li>fast breathing</li> <li>low blood pressure</li> <li>cool or clammy skin</li> <li>excessive sleepiness </li> <li>disorientation (not knowing where they are)</li> </ul><h2>What causes sepsis?</h2> <p>Sepsis is most often caused by bacteria. Some common bacterial causes include <em>Staphylococcus aureus</em>, various types of <em>Streptococcus</em> species and <em><a href="/Article?contentid=509&language=English#ecoli">E. coli</a></em>. Sepsis can also be caused by viral or fungal infections. Sometimes the specific infection and source of sepsis cannot be identified.</p> <p>Bacteria cause local infections such as <a href="/Article?contentid=784&language=English">pneumonia</a>, <a href="/Article?contentid=935&language=English">urinary tract infections</a> and infections of the <a href="/Article?contentid=509&language=English">gastrointestinal tract</a> or skin. If bacteria from these infections enter the bloodstream, the infection can spread to the rest of the body. This forces the body’s immune system to release antibodies and other molecules to fight the infection.</p> <p>The strong immune response, along with the bacteria already in the body, creates a lot of <a href="/Article?contentid=926&language=English">inflammation</a>. This inflammation damages tissue and interferes with blood flow. The change in blood flow can lead to a dangerous drop in blood pressure, which stops oxygen from reaching the body’s organs and tissues. This series of events is known as sepsis.</p> <h2>Who can develop sepsis?</h2> <p>Any child with an infection can develop sepsis. However, there is a higher risk for:</p> <ul> <li>newborns and young infants</li> <li>children who have recently had surgery</li> <li>children with weakened immune systems, for example due to cancer or an organ transplant</li> <li>children with chronic (long-term) diseases, such as gastrointestinal conditions or kidney disease</li> </ul> <p>Some medications, such as steroids used over a long time and other forms of chemotherapy, can also put children at higher risk of developing sepsis.<br></p><h2>How is sepsis diagnosed?</h2> <p>If a doctor suspects sepsis after examining your child, they will seek to confirm the diagnosis through a number of blood tests.</p> <p>The tests can reveal if your child has an infection, for instance through a high white blood cell count or signs of bacteria, or if their organs are not working properly, for example through higher levels of certain enzymes, waste materials or other substances.</p> <p>The doctor may also test samples of urine and, sometimes, spinal fluid (with a <a href="/Article?contentid=1336&language=English">lumbar puncture</a> or spinal tap) to check for bacteria or viruses.</p><h2>How is sepsis treated?</h2> <p>Your child will be admitted to hospital for treatment even if sepsis is only suspected, as it can take some time for test results to come back. Initial treatment for sepsis includes <a href="https://akhpub.aboutkidshealth.ca/article?contentid=1120&language=English">antibiotics</a>, intravenous (IV) fluids and oxygen.</p> <p>Sometimes children with sepsis need to be admitted to the intensive care unit (ICU) for closer monitoring and further treatment. For instance, if a child has a severe case of low blood pressure, they may need special types of medications to raise it. Or if sepsis has caused organ damage, a child may need dialysis, in the case of kidney failure, or a ventilator to help with breathing, in the case of lung damage.</p>
SepsieSSepsieSepsisFrenchInfectious DiseasesChild (0-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2017-07-19T04:00:00Z9.5000000000000053.6000000000000730.000000000000Health (A-Z) - ConditionsHealth A-Z<p>L’enfant souffre de sepsie lorsqu’une infection locale envahit le reste de l’organisme. Familiarisez-vous avec les causes et le traitement de la sepsie.</p><h2>Qu’est-ce que la sepsie?</h2><p>La sepsie est une grave complication d’une infection locale grave (une infection n’affectant qu’une seule partie du corps). Si on ne la soigne pas, elle peut endommager des organes (<a href="https://pie.med.utoronto.ca/htbw/module.html?module=bladder-child">reins</a>, foie, <a href="https://pie.med.utoronto.ca/htbw/module.html?module=lung-child">poumons</a>, <a href="https://pie.med.utoronto.ca/htbw/module.html?module=brain-child">cerveau</a>), voire causer la mort du patient.</p> <figure class="asset-c-100"> <span class="asset-image-title">Progrès de la sepsie</span> <img src="https://assets.aboutkidshealth.ca/akhassets/sepsis_development_FR.jpg" alt="" /> <figcaption class="asset-image-caption">La cause habituelle de la sepsie est l’infection bactérienne, mais elle peut être aussi causée par des infections virales ou fongiques.</figcaption> </figure><h2>À retenir</h2><ul><li>La sepsie est une complication possible d’une infection grave et elle est causée par la réponse immunitaire de l’organisme à cette infection.</li><li>Outre les signes habituels d’une infection, on compte, parmi les symptômes de la sepsie, un rythme cardiaque et une respiration rapides, une faible tension artérielle, la pâleur de la peau, des taches sur la peau, une somnolence excessive et la désorientation.</li><li>Si votre enfant manifeste des symptômes de la sepsie, il doit être traité immédiatement même si le diagnostic du médecin n’a pas encore été confirmé par les tests sanguins. Le traitement initial se fait à l’aide d’antibiotiques, de l’injection de solutés par intraveineuse ou de l’administration d’oxygène.</li><li>En se lavant régulièrement les mains ou en recevant les vaccins recommandés, on peut prévenir certaines des causes de la sepsie.<br></li></ul><h2>Quels sont les symptômes de la sepsie?</h2><p>Un enfant atteint de sepsie peut présenter les signes typiques d’une infection, notamment de la <a href="/Article?contentid=30&language=French">fièvre</a>, de la <a href="/Article?contentid=774&language=French">toux</a> ou de la <a href="/Article?contentid=7&language=French">diarrhée</a>, ainsi que les symptômes suivants :</p><ul><li><a href="/Article?contentid=894&language=French">fréquence cardiaque élevée</a>;</li><li>fréquence respiratoire élevée;</li><li>tension artérielle basse;</li><li>peau froide ou moite;</li><li>somnolence excessive;</li><li>désorientation (ne pas savoir où l’on est).</li></ul><h2>Quelles sont les causes de la sepsie?</h2><p>La cause habituelle est l’infection par des bactéries, dont le staphylocoque doré, des espèces de streptocoques et Escherichia coli. La sepsie peut aussi être causée par des infections virales ou fongiques. Il arrive parfois qu’on ne puisse déterminer le type d’infection ou la source de la sepsie.</p><p>Les bactéries provoquent des infections locales comme la <a href="/Article?contentid=784&language=French">pneumonie</a> et des <a href="/Article?contentid=935&language=French">infections urinaires</a>, <a href="/Article?contentid=509&language=French">gastro-intestinales</a> ou cutanées. Si les bactéries causant ces infections pénètrent dans le sang du patient, ces infections risquent de se répandre dans tout l’organisme, ce qui incite le système immunitaire à produire des anticorps et d’autres molécules qui combattent l’infection.</p><p>La vigueur de la réponse immunitaire et la présence de bactéries dans l’organisme provoquent une vive <a href="/Article?contentid=926&language=French">inflammation</a>, qui endommage les tissus et nuit à la circulation sanguine. Ce ralentissement de la circulation peut faire brutalement baisser la tension artérielle, ce qui prive les organes et les tissus de l’oxygène dont ils ont besoin. C’est cette suite d’incidents qu’on appelle la sepsie.</p><h2>Qui peut souffrir de sepsie?<br></h2><p>Bien que tous les patients infectés puissent souffrir de sepsie, les enfants suivants sont plus à risque :</p><ul><li>les nouveau-nés et les nourrissons;</li><li>les enfants qui se remettent d’une opération;</li><li>les enfants dont le système immunitaire est affaibli, à la suite d’un cancer ou d’une greffe par exemple;</li><li>les enfants atteints d’une maladie chronique comme un trouble gastro-intestinal ou une maladie rénale.</li></ul><p>L’usage à long terme de certains médicaments, comme les stéroïdes, et d’autres formes de chimiothérapie peuvent aussi favoriser l’apparition de la sepsie.</p><h2>Le diagnostic de la sepsie</h2><p>Si le médecin soupçonne la présence de sepsie chez votre enfant après l’avoir examiné, il tentera de confirmer son diagnostic en recommandant des tests sanguins.</p><p>Ces tests peuvent révéler l’existence d’une infection (nombre élevé de globules blancs dans le sang, signes de la présence de bactéries, etc.) ou des problèmes de fonctionnement de certains organes (taux élevés de certains enzymes, de déchets ou d’autres substances, etc.).</p><p>Le médecin peut également prendre des échantillons d’urine et parfois de liquide cérébro-spinal (à l’aide d’une <a href="/Article?contentid=1336&language=French">ponction lombaire</a>) et vérifier si des bactéries ou des virus s’y trouvent.</p><h2>Le traitement de la sepsie</h2><p>Votre enfant sera admis à l’hôpital même si le diagnostic de sepsie est incertain, car l’obtention des résultats des tests peut prendre du temps. Le traitement initial se fait à l’aide d’<a href="/Article?contentid=1120&language=French">antibiotiques</a>, de l’injection de solutés par intraveineuse et de l’administration d’oxygène.</p><p>Il arrive que les enfants atteints de sepsie doivent être admis au service de soins intensifs, où ils seront suivis de près et recevront un traitement. Par exemple, si la tension artérielle de l’enfant chute considérablement, il aura sans doute besoin de médicaments conçus pour la faire remonter; si ses reins sont endommagés, il aura peut-être besoin d’une dialyse; si ses poumons le sont, un respirateur l’aidera à respirer.</p>

 

 

 

 

Sepsis2316.00000000000SepsisSepsisSEnglishInfectious DiseasesChild (0-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2017-07-19T04:00:00Z9.5000000000000053.6000000000000730.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Sepsis occurs when a local infection spreads to the entire body. Find out what causes sepsis and how sepsis is treated. </p><h2>What is sepsis?</h2><p>Sepsis is a serious condition that occurs as a complication of a severe local infection (an infection affecting one part of the body). If left untreated, sepsis can damage the body’s organs, for example the <a href="https://pie.med.utoronto.ca/htbw/module.html?module=bladder-child">kidneys</a>, liver, <a href="https://pie.med.utoronto.ca/htbw/module.html?module=lung-child">lungs</a> or <a href="https://pie.med.utoronto.ca/htbw/module.html?module=brain-child">brain</a>, and possibly lead to death.</p> <figure class="asset-c-100"><span class="asset-image-title">Development of sepsis</span> <img alt="Illustration of the development of sepsis from local infection to organ damage and death, if left untreated" src="https://assets.aboutkidshealth.ca/akhassets/sepsis_development_EN.jpg" /> <figcaption class="asset-image-caption">Sepsis is most often caused by bacteria but can also be caused by viral or fungal infections.</figcaption> </figure><h2>Key points</h2> <ul> <li>Sepsis can occur as a complication of a severe infection, and is caused by the body’s immune response to the infection.</li> <li>Signs and symptoms of sepsis include common infection symptoms along with a fast heart rate, fast breathing, low blood pressure, pale or patchy skin, excessive sleepiness or disorientation.</li> <li>If your child is showing signs or symptoms of sepsis, they are treated right away even if the diagnosis is not yet confirmed through blood tests. Initial treatment includes antibiotics, intravenous fluids and/or oxygen.</li> <li>Regular hand washing and routine immunizations can help prevent some causes of sepsis.</li> </ul><h2>What are the signs and symptoms of sepsis?</h2> <p>A child with sepsis may display typical signs of an infection, including <a href="/Article?contentid=30&language=English">fever</a>, <a href="/Article?contentid=774&language=English">cough</a> or <a href="/Article?contentid=7&language=English">diarrhea</a>, along with:</p> <ul> <li>a <a href="/Article?contentid=894&language=English">fast heart rate</a></li> <li>fast breathing</li> <li>low blood pressure</li> <li>cool or clammy skin</li> <li>excessive sleepiness </li> <li>disorientation (not knowing where they are)</li> </ul><h2>What causes sepsis?</h2> <p>Sepsis is most often caused by bacteria. Some common bacterial causes include <em>Staphylococcus aureus</em>, various types of <em>Streptococcus</em> species and <em><a href="/Article?contentid=509&language=English#ecoli">E. coli</a></em>. Sepsis can also be caused by viral or fungal infections. Sometimes the specific infection and source of sepsis cannot be identified.</p> <p>Bacteria cause local infections such as <a href="/Article?contentid=784&language=English">pneumonia</a>, <a href="/Article?contentid=935&language=English">urinary tract infections</a> and infections of the <a href="/Article?contentid=509&language=English">gastrointestinal tract</a> or skin. If bacteria from these infections enter the bloodstream, the infection can spread to the rest of the body. This forces the body’s immune system to release antibodies and other molecules to fight the infection.</p> <p>The strong immune response, along with the bacteria already in the body, creates a lot of <a href="/Article?contentid=926&language=English">inflammation</a>. This inflammation damages tissue and interferes with blood flow. The change in blood flow can lead to a dangerous drop in blood pressure, which stops oxygen from reaching the body’s organs and tissues. This series of events is known as sepsis.</p> <h2>Who can develop sepsis?</h2> <p>Any child with an infection can develop sepsis. However, there is a higher risk for:</p> <ul> <li>newborns and young infants</li> <li>children who have recently had surgery</li> <li>children with weakened immune systems, for example due to cancer or an organ transplant</li> <li>children with chronic (long-term) diseases, such as gastrointestinal conditions or kidney disease</li> </ul> <p>Some medications, such as steroids used over a long time and other forms of chemotherapy, can also put children at higher risk of developing sepsis.<br></p><h2>How is sepsis diagnosed?</h2> <p>If a doctor suspects sepsis after examining your child, they will seek to confirm the diagnosis through a number of blood tests.</p> <p>The tests can reveal if your child has an infection, for instance through a high white blood cell count or signs of bacteria, or if their organs are not working properly, for example through higher levels of certain enzymes, waste materials or other substances.</p> <p>The doctor may also test samples of urine and, sometimes, spinal fluid (with a <a href="/Article?contentid=1336&language=English">lumbar puncture</a> or spinal tap) to check for bacteria or viruses.</p><h2>How is sepsis treated?</h2> <p>Your child will be admitted to hospital for treatment even if sepsis is only suspected, as it can take some time for test results to come back. Initial treatment for sepsis includes <a href="https://akhpub.aboutkidshealth.ca/article?contentid=1120&language=English">antibiotics</a>, intravenous (IV) fluids and oxygen.</p> <p>Sometimes children with sepsis need to be admitted to the intensive care unit (ICU) for closer monitoring and further treatment. For instance, if a child has a severe case of low blood pressure, they may need special types of medications to raise it. Or if sepsis has caused organ damage, a child may need dialysis, in the case of kidney failure, or a ventilator to help with breathing, in the case of lung damage.</p><h2>What can I do to prevent sepsis?</h2> <p>One effective way to prevent sepsis is to minimize the risk of infections.</p> <ul> <li>Make sure your child receives their routine vaccinations.</li> <li>Pay attention to careful <a href="/Article?contentid=1981&language=English">hand washing</a> and encourage your child to do the same.</li> <li>Clean any cuts or scrapes carefully.</li> </ul>https://assets.aboutkidshealth.ca/akhassets/sepsis_development_EN.jpgSepsisFalse