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Q: Compare Septicemia, SIRS and Sepsis. What are the differences?

A: Well, this gets very confusing. That little

[star] up there, this will work for a specialty CEU, I believe.

The American College of Chest Physicians and the Society of Critical Care Medicine have established 4 different levels of sepsis. The levels and symptoms are as follows:

  1. Systemic inflammatory response syndrome (SIRS) – you’ve probably heard of SIRS before? And this gives you a list of things that a person has SIRS, signs and symptoms that we have. You’ve got hypothermia (your temperature is below 97°F) or a fever (a temperature above 100°F), tachycardia (heart rate more than 100 beats per minute); tachypnea (rapid breath, more than 20 breaths per minute) or hypocapnia (arterial CO2 less than 32 mmHg); and leukopenia or leukocytosis (white blood count that is either too low or too high). There is no confirmed infectious process in SIRS.
  1. What happens when you go to the next level? Well, you have sepsis. And sepsis is SIRS – everything that we just talked about before – in response to a confirmed infectious process. They see the infection; they know where it’s at.
  1. Severe sepsis – what happens when it graduates, I guess, you can call it – it includes the dysfunction of one or more organs. You get hypotension, you get hypoperfusion, and it’s going to affect one or more organs.
  1. It could turn into septic shock – sepsis with persistent arterial hypotension or hypoperfusion despite adequate fluid resuscitation.

The Medical Coding Septicemia, SIRS and Sepsis- Video

Last, septicemia, which is a serious, life-threatening infection that gets worse very quickly. It can arise from infections throughout the body, including infections in the lungs, abdomen, and urinary tract. It may come before or at the same time as the infection is found. What’s really scary is that older people sometimes suffer that and they’ll get like a urinary tract infection and it just goes through the body and their body starts shutting down organs.

Here is osteomyelitis, which is an infection of the bone. Central nervous system would be meningitis. You’ve heard stories about somebody that got sick, next thing you know they’ll do a spinal tap, they got meningitis and they’re gone very quickly. Endocarditis – infection of the heart muscles. And, other tissues.

Here is a picture of a person that has septicemia and it had started in their legs and you can see there’s a wound there. There’s lots of swelling, there’s a rash usually and it will go very quickly.

Sepsis is a medical condition in which the immune system goes into overdrive, releasing chemicals into the blood to combat an infection (microbes in the blood, urine, lungs, skin, or other tissues) that trigger widespread inflammation (cellular injury in the body tissues). If the body is not able to regulate the immune response – which you can see this, this redness and swelling and like I said, sometimes a rash – it then overwhelms normal blood processes so the blood is not able to do its job. The first mention of the word sepsis in a medical context was more than 2700 years ago in the poems of Homer – which I thought was really cool and I would have loved to have went and looked, a time to go in and find that.

The word derives from the Greek word sepein, meaning “to rot” – and that’s exactly what happens. Sepsis occurs in 1% to 2% of all the hospitalizations in the United States, affecting at least 750,000 persons and costing $17 billion per year to treat. A term sometimes used for sepsis is “blood poisoning,” but there is no poison involved in sepsis.

This is the most – how would I say it – benign picture that I can find, and my husband and children thinks that I’m very morbid and like gory pictures; but just go in and Google image sepsis, amazing what you can find and really sad conditions too for people on this stuff can happen, just like that.

Find out More information about Medical Coding Septicemia

Medical Coding Help

AAPC – Understand How ICD-10 Expands Sepsis Coding

Medical Coding Septicemia

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2016-11-20T23:37:35+00:00

About the Author:

AliciaScott-Instructor
Alicia has been working in the medical field for over 20 years. She first learned about medical coding while working in a medical records department at a resort town hospital near where she was raised. Through the years she has held several jobs in the medical field from, CNA, EMT, Pharmacy technician and Medial Records Abstractor and Analyst. Outside of the medical field she has worked as a Real Estate agent, and owned her own on-line retail business. The medical field has always been where she felt the most comfortable. Alicia has taught medical coding, billing and medical law and ethics at a private college. She also did contract work in HCC Risk Adjustment and discovered she really enjoyed ICD work. Because she loves to learn Alicia is working towards her Masters in Health Care Administration with an emphasis on education. Having taken many online classes through the years to complete her degree she feels very comfortable with both face to face and on-line learning. Alicia will tell you that not only does she love medical coding but she has a passion for teaching it. Alicia lives in the middle of Texas with her husband who is a Pastor, five of her six children, three dogs and two cats.

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