Top 20 Doctor insights on: Sepsis treatment antibiotics
30 days in counting in antibiotic therapy treating with severe sepsis and still no response or progress. What can the doctor do?
Blood culture: 30 days of sepsis is a long time and your doctor should have a good idea where the source of your infection is through your history, physical exam and radiologic studies. Cultures of specimen such as blood, sputum, urine or other fluids should be done to determine what bacteria or fungus or virus to treat with the right antibiotic. ...Read more
How long can you live with sepsis if IV antibiotics can't cure the infection but oral antibiotics are used to slow the spread of infection?
Maybe forever: If the doctors have switched to oral treatment, the sepsis itself probably is under control or cured. Continuing oral antibiotics probably is intended to cure whatever underlying infection led to sepsis, or keep it suppressed if not cured. The details depend on that underlying infeciton, different for each one: pneumonia, urinary tract, skin, bone, internal abscess, etc. Discuss with doctors. ...Read more
Chemotherapy: Chemotherapy generally refers to anti-cancer treatment. Severe sepsis refers to infectious diseases that have spiraled out of control making the patient very sick, and at risk for dying from the infection. Maybe there was some confusion here talking to the doc? Chemotherapy or "chemo" for short can weaken a patient as a side-effect of treating a cancer, such that infections can arise. Hope ur OK. ...Read more
Sepsis: Sepsis is when bacteria spreads from a point of initial infection to the bloodstream. As a result, blood pressure decreases, heart rate rises, and breathing becomes labored. Sepsis typically recquires IV antibiotics in an icu. If missed or undertreated, a patient could die. ...Read moreSee 2 more doctor answers
Confusing question: Chemo uses various toxic substances to target and kill cancer cells. We use antibiotics to kill the germs of sepsis. During severe sepsis we also use medicines to support blood pressure and fluids too support the normal needs of the body. None of these are called chemotherapy. ...Read more
Check with your doc:
Sepsis is a life-threatening disease. It means that a local infection such as pneumonia or urinary tract infection induces a total body response. This response of the whole body may cause multiorgan failure.
Appropriate and adequate antimicrobials, together with drainage of the infection if necessary, are the main treatment. Aggressive hydration is also useful for most patients. Experienced doc! ...Read more
Concern: It's definitely concerning. While I can't say for sure it's sepsis without other information including a blood culture and other information, it's possible you could be on your way to sepsis, especially given the fact you're on chemotherapy. I would highly suggest you get in touch with your treating physician or his/her on call physician this afternoon and discuss your symptoms with them. Good luck ...Read more
30 and counting in antibiotic therapy with sepsis still no progress with the treatment. What can the doctor do?
Question unclear: This complex condition is not well defined by your description. Sepsis may arise from many primary sources, and in this case, if resulting in bacteremia (bacteria in blood), the question of endocarditis is significant. If the doctor has chosen treatment based upon in vitro sensitivity results they may want to consider some focus of loculated infection unreached by IV antibiotics, changing anti- ...Read more
Can the use of haloperidol (for delirium) or hydromorphone (for pain) mask an elderly pt's ability to respond to antibiotic treatment for suspected sepsis and probable pneumonia?
Just discharged w/Nephrostomy Tube. CT and scope both show mass/stone in L kidney, irregularly shaped, jagged edge and is 6.9mm. 2nd Sepsis treatment?
Antibiotics = sepsis: The antibiotics are used to treat sepsis or infections in the kidney; the nephrostomy tubes are used to relieve blockages, in this case probably caused by the masses or stones. The two problems may be related, but are treated separately; and u can get one (blockage) without the other (sepsis). TTYD and Urologist to see what shd be done. Good Luck, Thanks for your question. ...Read more
I understand that it is a standard procedure for a urine M/C/S to be done in cases of suspected severe sepsis. But if there is no evidence of a UTI & the antibiotics would cover a UTI in any case then what is the point of it? Does it really matter?
You want to know bac: The point of a urine C/S is to isolate bacteria which could be causing severe sepsis. Bacteria can get to urine from bloodstream without causing UTI. While the yield on urine M/C/S is lower because Abx have been started, the benefit of the info is so high that it's worth taking a chance. How do you KNOW the Abx is right? Could bacteria be resistant? What long-term Abx can be used? It matters A LOT ...Read moreSee 1 more doctor answer
I had a friend with sepsis who recovered quite well She was administered ceftriaxone IV in hosp I recall seeing her administered the antibiotic by a quick injection through a canulla But is it the case that a slow drip IV of this AB is as good/normal?
I started antibiotic yesterday still swollen worried about getting sepsis infection I had cold chills last night and didn't feel good today is better?
Keep taking meds: Anyone can get sepsis, but sometimes, it can take a few days before you feel better after an infection starts to get treated. But, if you are not better, or worse, after antibiotics are started, then you should not delay seeking emergency treatment. ...Read more
Septic shock: Treatment for septic shock involves reversal of shock, supportive care and antibiotic therapy. The forms that each of these treatments can take is predicated upon the severity of the shock. Some patients may only require fluid administration along with antibiotics and close monitoring while others may need invasive care in the intensive care unit. ...Read more