Septicaemia

Last updated: Friday, 14, January, 2011
Key InformationAppropriate Tests

Blood culture.

Microbiological studies, as appropriate, on any identified focus of infection.

Urine microscopy and culture.

FBC, blood film, differential WCC, platelet count; electrolytes, creatinine, urea.

Antimicrobial treatment should not be delayed if the patient is clinically septicaemic.

In severely ill patients: arterial blood gases , lactate, procalcitonin.

Presentations

Shock

DIC

Respiratory distress syndrome

Renal failure - acute

Predisposing factors

Intravenous cannula

Culture of cannula tip and wound swab of cannula site.

Urinary tract instrumentation

Urine microscopy and culture.

Abscess

Intravenous drug abuse

Neutropenia

See also Febrile neutropenia.

Immunodeficiency, especially

See also Infection (increased susceptibility)
See Splenic atrophy/absence