[Artigo] Sepsis, Diagnosis, Pediatric
Sepsis is a serious bodily reaction to an infection. The infection that triggers sepsis may be from a bacteria, virus, or fungus. Sepsis can result from an infection in any part of the body. Infections that commonly lead to sepsis include blood, skin, lung, and urinary tract infections. Sepsis is a medical emergency that must be treated right away in the hospital. In severe cases, it can lead to septic shock. Shock can weaken the heart and cause blood pressure to drop. This can make the body’s central nervous system and organs stop working.
What are the causes?
This condition is caused by a severe reaction to infections from bacteria, viruses, or fungus. The germs that most often lead to sepsis include:
• Escherichia coli (E. coli) bacteria.
• Staphylococcus aureus (staph) bacteria.
• Some types of streptococcus bacteria.
The most common infections affect these organs:
• The lung (pneumonia).
• The kidneys (urinary tract infection).
• The skin (cellulitis).
• The bowel, gallbladder, or pancreas.
What increases the risk?
This condition is more likely to develop in children who:
• Have a low birth weight of less than 5.5 lb (2500 g).
• Are born too early (prematurely).
• Have a weak disease-fighting system (immune system).
• Are younger than 1 year old.
• Are born to a mother who has sepsis or is infected with:
◦ Group B streptococcusbacteria.
◦ E. coli.
• Are born more than 18 hours after mother’s water broke (amniotic sac ruptured).
• Have had surgery.
• Are hospitalized, especially in the intensive care unit (ICU).
• Have these devices inserted into the body:
◦ A small, thin tube (catheter).
◦ IV line.
◦ Breathing tube.
◦ Drainage tube.
• Have other long-term (chronic) diseases, such as diabetes.
What are the signs or symptoms?
Symptoms of this condition may include:
• Fever.
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