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Septic Shock

Septic shock secondary to severe infection is a life-threatening emergency that may be fatal.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Acil Servis department. Book Appointment →

What is Septic Shock?

Septic shock is a clinical syndrome of circulatory failure and tissue hypoperfusion resulting from a widespread inflammatory response to infection.

It is defined by hypotension that is unresponsive to fluid therapy and elevated lactate levels. Mortality ranges between 30% and 50%.

Early antibiotics, fluid resuscitation and source control are life-saving. The bundle delivered in the first hour determines prognosis.

Symptoms

High fever or hypothermia
Tachycardia and hypotension
Tachypnoea and altered consciousness
Cold sweating and mottled skin
Oliguria and weakness
Findings related to the source of infection (dysuria, cough, wound discharge)

Risk Factors

Advanced age, immunosuppression
Chronic illness (diabetes, chronic kidney disease, cirrhosis)
Invasive procedures and catheters
Recent surgery or hospitalisation
Chemotherapy and immunosuppressive treatment
Malnutrition

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Call emergency services if high fever is accompanied by hypotension
  • A febrile patient with confusion and weakness must be brought to the emergency department
  • Mandatory presentation when a patient with a known infection deteriorates
  • Even mild symptoms must be taken seriously in immunocompromised patients

Treatment Methods

01
Blood and urine cultures
02
Empirical broad-spectrum antibiotics in the first hour
03
Crystalloid resuscitation at 30 mL/kg
04
Vasopressor support (noradrenaline first choice)
05
Lactate monitoring and goal-directed therapy
06
Source control of the infection (drainage, debridement)

Which Department to Visit?

You can visit our Acil Servis department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Acil Servis Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.