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WOŚP 2023. What is sepsis, how dangerous is it? How to fight it? What does the orchestra raise money for?

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It kills more people than lung cancer or a heart attack. – Although sepsis is a gigantic threat to public health, Polish laboratories are minimally prepared to fight it – said Professor Bohdan Maruszewski, a cardiac surgeon and co-founder of the Great Orchestra of Christmas Charity. – Modern equipment is crucial to quickly determine what treatment a patient requires. His chances of survival depend on it – emphasized Dr. Radosław Jaworski, cardiac surgeon and specialist in clinical microbiology at the Children’s Memorial Health Institute.

Sepsis, as Dr. Radosław Jaworski said on TVN24, is a set of symptoms caused by the body’s violent reaction to infection. It can cause organ failure, shock and, consequently, death. – Very little time passes from the moment of breaking the body’s defenses to the death of the patient – emphasized the expert.

The patient’s fate depends on how they manage to use the short time that doctors have to react. If you can quickly determine what led to the infection (which virus, bacteria or fungus), you can quickly implement a precise treatment.

– There must be as little time as possible between the detection of the first symptoms of sepsis and the full diagnostic results. And that is the goal of this year’s final of the Great Orchestra of Christmas Charity – said Dr. Jaworski.

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31. Grand Finale of the Great Orchestra of Christmas Charity. How can you support the Great Orchestra of Christmas Charity?

There is no perfect line of defence

Dr. Jaworski emphasizes that there are no collective registers of sepsis cases in Poland. It is estimated that 50,000 patients with this diagnosis are admitted annually in intensive care units alone.

– According to experts, this number is deeply underestimated. It should also be remembered that a patient with sepsis does not always go to the ICU, sometimes he is also treated in other wards – said the TVN24 guest.

Mortality in the case of sepsis diagnosis – as Radosław Jaworski said – is estimated at 20 to 60 percent.

– This means that even every second patient can die because of it. It all depends on how quickly the appropriate treatment is implemented – emphasized the expert.

He pointed out that prophylaxis is used in hospitalized patients, consisting in the administration of antibiotics that protect the body in the event of infection. However, there is no way to fully prevent sepsis.

Disarmed

Professor Bohdan Maruszewski, deputy of Jurek Owsiak, vice-president of the board of the Great Orchestra of Christmas Charity and an outstanding pediatric cardiac surgeon, pointed out that already in 2017 World Health ORganisation (WHO) recognized the fight against sepsis as one of the ten priorities in health care.

– Worldwide, 50 million people are affected every year, half of them children. Sepsis is responsible for twenty percent of deaths in the global population, i.e. one in five deaths is caused by it, said Prof. Maruszewski.

He pointed out that the mortality rate per 100,000 people for sepsis is 65. More than in the case of a heart attack or lung cancer.

– Despite the scale of the problem, there is still no government program to combat sepsis in Poland. Polish laboratories are minimally equipped with the most modern equipment, thanks to which it is possible to quickly collect key information on the source of infection and start effective treatment – emphasized the specialist.

Despite the recommendations of the Supreme Audit Office, there is still no sepsis register in the country.

Expert: The scale of needs is very largeTVN24

– The Great Orchestra of Christmas Charity sees that the needs are very great, which is why the 31st final is so important – pointed out prof. Maruszewski.

Fighting against time

The Great Orchestra of Christmas Charity is an opportunity to purchase equipment for all leading laboratories in Poland.

– We need to increase our chances in the race against sepsis. Each hour of delay in administering the appropriate drug reduces the patient’s chance of survival by eight percent, stressed Professor Bohdan Maruszewski.

He adds that modern medicine puts three types of devices on the frontline of the fight against sepsis. The first type of equipment works on the principle of mass spectrometry.

– It reduces the time necessary to identify the source of infection from 72 hours, which is necessary in older methods, to several hours – said the professor.

The second type of equipment is based on magnetic resonance technology. Thanks to it, the recognition time is reduced to several hours.

– The third type of equipment works on the principle of molecular technology. She is unheard of. By examining fluids, for example cerebrospinal fluid, blood or urine, the diagnostic time can be shortened to one hour, the expert noted.

Everything you need to know about sepsis

Who is most at risk? The elderly, people with various diseases and small children are at a particular risk of developing sepsis. In the third group there are young people who often share drinks or food.

What are the symptoms of sepsis? The first symptoms of sepsis depend largely on what factor caused the infection. Symptoms usually appear suddenly and progress rapidly, causing a significant deterioration of health. The most common symptoms are:

– fever (but not always present)

– rapid breathing, shortness of breath

– pain and feeling unwell

– a rash that does not disappear with pressure

– accelerated heartbeat

– Deterioration of contact with the environment, disorientation

– lowered blood pressure

– general behavior change.

However, the initial symptoms of sepsis can be difficult to distinguish from symptoms such as a cold. However, the key is the very rapid deterioration of health and the lack of response to commonly used drugs, e.g. antipyretics.

What are the types of sepsis? We can distinguish sepsis (the mildest form), severe sepsis (understood as multi-organ failure of the body) and septic shock (the most severe form), depending on the intensity of the body’s reaction. Sepsis is divided into in-hospital and out-of-hospital sepsis. Nosocomial sepsis affects patients who also have concomitant diseases, patients after surgery, antibiotic therapy, chemo- and radiotherapy and with catheters, because these factors reduce their immunity, and hospital bacteria are usually resistant to antibiotics. Out-of-hospital sepsis most often affects children and adolescents, often completely healthy.

How can sepsis be treated? If you have an infection, you need antibiotics, so see your doctor as soon as possible. Each additional hour without medical intervention can increase the risk of death by up to 8%. The mortality rate for invasive infection can exceed 50%. cases. However, prevention is key. To protect against sepsis, it is recommended to limit the possibility of acquiring microorganisms from others, for example by washing hands frequently, treating infections effectively, not sharing dishes and food with other people. Doctors also recommend vaccinations against meningococcal, pneumococcal and hemophilic bacillus type B (the latter is mandatory), which can protect against infection with particular bacteria that cause sepsis.

31. Finale of the Great Orchestra of Christmas Charity

Another 31st final The Great Orchestra of Christmas Charity is held under the slogan of fighting sepsis. The 31st Final of the Great Orchestra of Christmas Charity will take place on the last Sunday of January, i.e. January 29, 2023.

The 31st finale of the Great Orchestra of Christmas Charity will take place on January 29. The last moment of preparation >>>

tvn24.pl, patient.gov.pl, koroun.nil.gov.pl

Main photo source: Shutterstock



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