-PractICE SEPSIS POLICY-
Practice policy for sepsis & useful information.
What is Sepsis? |
Sepsis is the immune system’s overreaction to an infection or injury where it attacks the body’s organs and tissues. Sepsis claims an estimated 48,500 lives each year (The UK Sepsis Trust). It is rare for sepsis to develop from dental infections but can occur if patients are poorly managed. Spotting deterioration in a patient’s condition can help prevent sepsis. |
Symptoms of Sepsis in Adults Include: |
Altered mental steate, for example: slurred speech or confusion. |
Malaise (a general feeling of discomfort, illness or unease). |
Extreme shivering. |
Muscle Pain. |
Failure to pass urine in the previous 18 hours. |
Breathlessness & increased breathing. |
Increased heart rate & blood pressure. |
Non-blanching rash & cyanosis of the skin, lips or tongue. |
Signs of Sepsis in Children Include: |
Rapid breathing. |
Convulsions. |
Mottled, blue or pale appearance. |
Lethargic and difficult to wake up from sleep. |
Non-blanching rash (rash that doesnt fade when pressed). |
Feels abnormally cold to touch. |
Signs of Sepsis in Infants Include: |
Not feeding. |
Has not passed urine for 12 hours. |
Vomiting repeatedly. |
Dental Infections: |
The first treatment of choice for patients with acute dental infections, is removal of the source of infection by drainage. |
Antibiotics should only be prescribed: |
• As an adjunct to the management of acute infections where there is an elevated temperature, evidence of systemic spread and local lymph gland involvement. |
• For the definitive management of active infective disease e.g., necrotising ulcerative gingivitis. |
• Where definitive treatment has to be delayed due to referral to specialist services for example when it has not been possible to establish drainage in an un co-operative patient or a patient needs referring because of co-morbidities. (Comorbidity is a medical term that you may have heard your doctor use it describes the existence of more than one disease or condition). |
Patients with acute infections should be followed up in 2-3 days to ensure that their symptoms have improved and referred to the local A&E at any point that sepsis is suspected. |
CQC may ask what processes and systems are in place to manage patients with infections. They may also ask to see the record of a patient who has presented with severe infection, as evidence of how a practice deals with such cases. |
For further information see the Sepsis Trust Yellow manual: |