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Staying Safe from Sepsis



         National Institute of Health (NIH)   The early symptoms of sepsis are
         Preventing Infections and Improving  similar to those of many other
       Survival                             conditions. These can include fever,
         Your immune system is on patrol every  chills, rapid breathing or heart rate, a
       day. It protects your body from bacteria,  skin rash, confusion, and disorientation.
       viruses, and other germs. But if something  It’s important to know the symptoms.
       goes wrong, it can also cause big    Sepsis is a medical emergency. If you or
       problems.                            your loved one has an infection that’s
         Sepsis happens when your body’s    not getting better or is getting worse,
       response to an infection spirals out of  get medical care immediately.
       control. Your body releases molecules  Researchers are now looking for
       into the blood called cytokines to fight the  better ways to diagnose sepsis. One
       infection. But those molecules then trigger  strategy is to use artificial intelligence to
       a chain reaction.                    predict a patient’s risk of sepsis when
         “Sepsis is basically a life-threatening  they have an infection.            READING: A Great Past Time
       infection that leads to organ dysfunction,” says  There are few medicines that help
       Dr. Richard Hotchkiss, who studies sepsis  treat sepsis. Doctors try to stop the  The Library of Congress has thousands
       at Washington University in St. Louis.  infection and support the functions of
         The most dangerous stage of sepsis is  vital organs. This usually includes  of books on line - Open to the Public  Interested on serving on a jury?
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       called septic shock. It can cause multiple  giving oxygen and fluids.            and FREE to read.  GO TO          Jury Sery Servicevice
       organs to fail, including the liver, lungs,  Hotchkiss and other researchers are
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       and kidneys.                         exploring new treatments for the               www.read.gov                  San Bernardino: 909-884-1858
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         Septic shock begins when the body’s  condition. His team has been testing                                          Los Angeles: lacourt.org
                                                                                                                            Los Angeles: lacourt.org
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                                                                                                                            Los Angeles: lacourt.org
                                                                                                                            Los Angeles: lacourt.org
       response to an infection damages blood  ways to measure which immune cells
       vessels. When blood vessels are damaged,  are affected by sepsis.
       your blood pressure can drop very low.  The traditional understanding of
       Without normal blood flow, your body  sepsis, he says, is that the body responds
       can’t get enough oxygen.             too strongly to an infection. But his
         Almost 1.7 million people in the U.S.  group has found that the body also
       develop sepsis every year. Even with  makes too few of some important types
       modern treatments, it kills nearly 270,000  of immune cells. This makes it hard for
       of those. As many recover, some have  the body to effectively fight the
       lifelong damage to the body and brain.  infection that first triggered sepsis. It can
         “We can get many people over that first  also cause a lot of collateral damage, and
       infection that caused the sepsis,”   make you more vulnerable to other
       Hotchkiss explains. “But then they’re at  germs.
       risk of dying from a second infection  Hotchkiss’s team is now testing ways
       because of their weakened condition.”  to boost the immune cells that are vital
         Bacterial infections cause most sepsis  for fighting infections using drugs.
       cases. But sepsis can also result from other  They’ve found they can increase these
       infections, including viral infections, such  cells in patients with sepsis. Next, they
       as COVID-19 or the flu (influenza).  will be testing whether this new
         Anyone can get sepsis. But certain  approach can improve survival.
       people are at higher risk, including   Supplied by: www.nih.gov
       infants, children, and older adults.
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      February 2021                                                                                                                                     11
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