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Bacteremia and Septicemia

Information about Bacteremia and Septicemia

We Have to Know about the Bacteremia and Septicemia

  • Bacteremia is the presence of viable bacteria in the circulating blood

Could be dangerous, if the answer is YES for any one of the following questions

  • Any child with a fever, shaking chills, and who looks acutely ill should be seen immediately as an emergency
  • Any child with evidence of bleeding into his skin should be seen immediately as an emergency.
  • Any child who has been ill and has any changes in mental status should be seen immediately as an emergency

Causes of Bacteremia and Septicemia

  • Bacteremia may also occur in children with focal infections or in children who have sepsis (ie, clinical evidence other than the fever of a systemic response to infection
  • Young infants most commonly acquire infections from the mother during childbirth

Do’s and Don’ts- Bacteremia and Septicemia

  • Cleanliness and high standard hygiene should be taken
  • Sanitation should be clean

Symptoms of Bacteremia and Septicemia

  • Children with sepsis have an increased heart rate or respiratory rate and may have a change in temperature
  • Children with sepsis syndrome or severe sepsis have hypotension, hypoperfusion, or organ dysfunction
  • Often, the only manifestation of occult bacteremia is a fever or a minor infection (eg, otitis media, upper respiratory tract infection)
  • Fever is common in pediatric patients, chills
  • Toxic looking (looks acutely ill)
  • Changes in mental state
  • Irritable
  • Lethargic
  • Anxious
  • Agitated
  • Unresponsive
  • Comatose
  • Shock
  • Cold
  • Clammy
  • Pale
  • Cyanotic (blue)
  • Unresponsive
  • Skin signs associated with clotting abnormalities
  • Petechiae
  • Ecchymosis (often large, flat, purplish lesions that do not blanch when pressed)
  • Gangrene (early changes in the extremities suggesting decreased or absent blood flow)
  • Decreased or no urine output

Medical advice for Bacteremia and Septicemia

  • When the symptoms of above appear
  • Risk factors
  • HIV
  • Diabetes
  • Surgery
  • Urinary catheter
  • Nasogastric tube

Treatment for Bacteremia and Septicemia

  • Inpatient treatment

Self-care for Bacteremia and Septicemia

  • Avoid un-hygiene food, avoid taking contaminated water

Investigations for Bacteremia and Septicemia

  • Blood culture
  • Urine culture
  • CSF culture
  • A culture of any suspect skin lesion
  • CBC
  • Platelet count
  • Clotting studies
  • Blood gas.
Causes of Bacteremia and Septicemia
                     Bacteremia and Septicemia