Understanding & Preventing Sepsis

Author: Dr Amit Pasan, Clinical Lead at Teladoc Health UK
In this blog, Dr Amit Pasan, Clinical Lead at Teladoc Health UK, explains what sepsis is, the causes of sepsis, how to recognise symptoms, and why preventing sepsis starts with understanding risk factors, and when to seek medical help. By increasing awareness, this blog aims to empower individuals and families to act quickly and confidently when it matters most.

What is Sepsis?

Sepsis happens when the body’s response to an infection turns against itself. Instead of just fighting off the germs causing the infection, the immune system goes into overdrive — causing widespread inflammation that can damage your organs. It can escalate within hours, and if it isn’t treated quickly, it can lead to septic shock, organ failure, and death.

It’s more common than many people realise: around 245,000 people in the UK are affected by sepsis each year, and it contributes to roughly 48,000 deaths.

What Causes Sepsis?

Sepsis can follow almost any infection — most often bacterial, though viral, fungal, and parasitic infections can trigger it too. Common starting points include chest infections, urinary tract infections, and infections following surgery or a wound.

Some people are at higher risk, including:

  • Adults over 75 and infants under 1
  • People with a long-term condition such as diabetes, sickle cell disease, or those without a spleen
  • People currently having chemotherapy
  • People on long-term steroids or other medicines that suppress the immune system
  • People who inject drugs
  • Anyone who is pregnant, has recently given birth, or has had a termination or miscarriage in the last 6 weeks

But it’s worth saying clearly: sepsis can affect anyone, including people who were perfectly healthy beforehand. Most cases don’t start in hospital — they start with an infection at home that gets worse.

What are the Signs and Symptoms of Sepsis?

Early sepsis can look like a bad flu or a stomach bug, which is part of what makes it dangerous. Trust your instincts — if someone seems seriously unwell in a way that doesn’t add up, that matters as much as any single symptom on this list.

In adults, seek emergency help if you notice:

  • Slurred speech or new confusion
  • Extreme shivering or severe muscle pain
  • Passing little or no urine
  • Severe breathlessness or very fast breathing
  • It feels that you are going to die or that something is seriously wrong
  • Skin that is mottled, pale, blue or otherwise unusually discoloured

Other symptoms can include feeling extremely unwell, a high or low temperature, a fast heartbeat, dizziness or fainting, and persistent vomiting.

In children, watch for:

  • A temperature that’s very high, or unusually low, with skin that feels cold or clammy
  • A rash that doesn’t fade when you press a glass against it — but don’t wait for a rash to appear; most sepsis cases have no rash at all
  • Unusual drowsiness, or difficulty waking
  • Severe tummy pain
  • Seeming faint, dizzy, or having a seizure

In children under 5, also watch for:

  • Refusing feeds
  • Repeated vomiting
  • No wet nappy for 12 hours

Sepsis can be genuinely hard to spot, even for experienced clinicians, because the early signs overlap with so many less serious illnesses. If something feels wrong and you’re not getting anywhere, it’s entirely reasonable to ask directly: “could this be sepsis?”

How Is Sepsis Treated?

Sepsis is treated in hospital, usually urgently. The mainstays are antibiotics to tackle the underlying infection and IV fluids to support blood pressure, alongside close monitoring. In more severe cases, patients may need extra support such as help with breathing (ventilation) or kidney support (dialysis). The earlier treatment starts, the better the outcome — which is exactly why speed matters so much.

Reducing Your Risk 

There’s no guaranteed way to prevent sepsis, and even people at higher risk don’t develop it from most infections. That said, a few habits genuinely help:

  • Keep vaccinations up to date
  • Practise good hygiene, particularly hand washing
  • Clean and monitor cuts, wounds, and skin infections
  • Don’t sit on a “just in case” worry — get medical advice if you feel seriously unwell, especially if you’re getting worse rather than better

Most infections do not lead to sepsis. However, recognising when someone is becoming seriously unwell and seeking help promptly can be lifesaving.

Conclusion

Sepsis moves fast, and acting fast is what saves lives. If you’re worried about yourself or someone you care for, don’t wait it out at home and don’t wait for a routine appointment — call 999 or go to A&E, and say you’re concerned about sepsis.

For more information, please visit ‘The UK Sepsis Trust’ – https://sepsistrust.org/about-sepsis/

This article is for general information and does not replace medical advice. If you’re currently unwell and unsure whether you need emergency care, please contact 999 or NHS 111, or seek in-person assessment.

 


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About Teladoc Health UK

Teladoc Health is the global leader in virtual healthcare, delivering innovative digital health solutions to over 100 million members worldwide. With over 20 years of experience, we are proud to work with leading organisations. Our range of telehealth services can be used modularly—like building blocks—to create integrated propositions, delivered digitally through our proprietary app.

 

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