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THE SILENT KILLER, WHO TAKES 10 THOUSANDS OF LIVES EVERY YEAR IN TURKEY
A UK woman who lives in England, came back from the dead because of a BlackBerry thorn that grazed her finger. An unfortunate woman who suffered from blood poisoning, that is, sepsis, because a yeast infection formed in her hand mixed with her blood, could not leave hospitals for exactly 2 years. So, according to TurkStat data, what is sepsis, defined by the World Health Organization as “more lethal than cancer”, which accounts for 60 percent of infection-related deaths in Turkey, What are its symptoms, how to protect it? Here are the details.
Aged 62 she went to the bushes around her house and started picking blackberries. At this time, her right index finger was stuck in the blackberry bushes. After 4 days, BK’s finger began to swell and hurt. She tried to cope with painkillers, but this time her finger doubled its normal size after three weeks. The unfortunate woman, who was unable to sleep from the pain and pain of her finger, had gone to the family doctor but what was told to her by the doctor was that there was no physical distress on her finger and she continued to take painkillers.
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SHE BURST INTO TEARS FROM HER PAIN
A woman who tried to ease her pain by holding her finger in a bowl of cold water, her finger was hot, red and swollen, constantly throbbing. BK, who had the same complaints on her middle finger, rushed straight to the emergency room when he burst into tears from pain. And here’s the bottom line: BK had a yeast infection on her finger, and if she wasn’t treated, it could even cost her life.
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TURKISH DOCTORS WERE STUNNED, THEY IMMEDIATELY TOOK HER TO SURGERY
BK, who had blood tests and an X-ray of her hand, was admitted to the emergency room the next day to prevent the spread of the infection and to prevent her losing her finger and hand. Because the yeast infection had spread to her bloodstream, her hand, and all her fingers. Doctors said part of her index finger could be amputated to prevent sepsis, a deadly disease.
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IT TOOK 2 YEARS FOR HER TO RECOVER AND RETURN TO WORK
”I couldn’t believe that something as harmless as a thorn would make me like this; it would make me lose my finger, my hand, ” said BK, whose fingernail was removed in surgery and the 2 cm infected piece there was cut and cleaned. But despite this, he repeated the infection within weeks of BK’s discharge. She underwent another operation to clean up her wound and underwent weeks of antibiotic treatment. BK, who can return to work after 2 years, said: “my nail has grown again, but it is numb, even though it has been 6 years since my finger. The infection and surgery damaged my nerves.” she said.
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IT TAKES MORE LIVES THAN EVEN CANCER
Sepsis takes more lives than cancer-related deaths, according to a report by the World Health Organization in 2018. According to the Turkish Statistical Institute (TUIK), sepsis-related deaths in Turkey account for 60 percent of infection-related deaths. 13 September World Sepsis Day numbered days before the danger to draw attention to this Department of Anesthesiology and reanimation, Intensive Care Specialist Prof. Dr. and dermatologist Prof. Doctor:
How is sporotricosis (rose thorn disease or gardener’s disease) mentioned in the incident an infection, how is it transmitted?
Sporotricosis is a fungal infection called sporothrix schenckii. This fungus is associated with yeast used to ferment beer with stale or moldy bread. Mold is found in rose thorns, Marsh Moss, and soil. This is why infection is most common in gardeners who deal with roses, Moss, hay and soil.
How should I act in cases such as stinging spines, abrasions or irritation? This condition, which is more common, especially in those who are engaged in soil and gardening, can lead to sepsis. What advice would you give about this? What symptoms should they see and see a doctor immediately?
The first symptom is a purplish hard fluffy nodule. It is usually painless or very little painful. It can turn into an open wound over time. It can remain without healing for years. Infection can sometimes cause different diseases or even death. If you have experienced a stinging of thorns and as a result of this, redness or swelling should be referred to a dermatologist immediately. Diagnosis is made as a result of biopsy and microbiological examinations.
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SEPTIC SHOCK CAN DEVELOP IF THE LOCUS OF INFECTION IS NOT TREATED
Department of Anesthesiology and reanimation, Intensive Care Specialist Prof. Doctor:
Why does Sepsis occur? Is every infection at risk of returning to sepsis?
Sepsis is a combination of infection and organ failure. An infection that begins as a focus in the body progresses when left untreated, spreading through the blood system and damaging various organ systems with signs that cover the entire body can create a table of organ failure.
Do only people with low immunity get sepsis, or do healthy people also face this danger?
The systemic spread of infection in people with damaged immune systems has a higher risk of developing organ failure. Hemato-oncological patients, transplant patients, diabetics, dialysis patients, addicts, postpartum mothers, newborns, advanced age, chronic patients are risky groups. However, healthy people can also develop infection organ failure sepsis or even septic shock when the focus of infection is not treated.
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BREATHING RATE INCREASES, BLOOD PRESSURE DROPS
What symptoms does Sepsis present? What can be seen in sepsis, unlike the body’s responses to a normal infection?
Sepsis is diagnosed with clinical and laboratory findings. In decongestant sepsis, infection and organ failure are together. Sometimes signs of infection and sometimes signs of organ failure may be at the forefront of the findings. If the infection is at the forefront, it should be evaluated quickly if there are signs of organ failure. For rapid assessment of Organ failure, quicksofa (qSOFA: rapid assessment of organ failure) is used.
– The number of breaths accelerates; it increases above 22 /minute, while in a normal adult it is 10-12/minute.
– Systolic blood pressure drops below 100mmhg.
– A change of consciousness develops.
2 of these clinical findings are added to the infection laboratory findings.
For example, when an elderly patient is brought to the emergency room for Neurology by her relatives saying “she is unconscious”, we can see that the data in the urine examination begins with a urinary tract infection as a focus, and a systemic infection through the blood tract creates organ failure in the neurological system.
Clinical signs of infection fever, chills, skin symptoms, arrhythmia, pain, such as systemic signs can be at the forefront of the infection focus findings. In the septic shock table, we see that the patient’s blood pressure drops a lot, the pulse becomes irregular, the circulation is disrupted, and the oxygenation of the tissue also decreases to the level of hypoxia (decreased oxygen ratio in the tissues).
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UNCONSCIOUS AND IMPROPER USE OF ANTIBIOTICS IS VERY DANGEROUS
How is Sepsis treated? How does unconscious antibiotic use affect sepsis?
Sepsis requires immediate treatment. Effective and early treatment within the first hour reduces the hospital death rate from sepsis from 60% to 20%. Starting the necessary fluid and antibiotic therapy is a priority when both clinical and laboratory evaluation of the patient is carried out quickly. According to the patient’s blood culture, the broad-spectrum antibiotic is narrowed within a few days and changed to a pathogenic microbe-specific antibiotic that can only be detected. In sepsis, the pathogen can be bacterial, viral, fungal. Antibiotic therapy for a specific pathogen is very important.
Unfortunately, our country ranks first in antibiotic resistance in research involving European countries. Unconscious use of antibacterial broad-spectrum antibiotics with no antiviral effect in simple viral diseases of the upper respiratory tract causes the development of resistance in the body. Not only unnecessary use, but also the lack of proper December and effective use of antibiotics creates resistance to the drug.
Antibiotics given in the case of Sepsis remain ineffective due to this developing resistance, leaving the patient vulnerable to microbes for treatment. Without effective antibiotics, loss of life in sepsis is inevitable.
Are there any health problems that can occur later in those who have caught and survived sepsis?
Even after discharge, 27% in the first month, 41% in the first 3 months, 63% in the first 1 year are observed in those who have sepsis and are treated in intensive care. Only 20% of patients show a survival process without the need for a hospital again, according to statistical data.
Studies show that even in the most developed countries, the highest rate of re-hospitalization is in patients suffering from sepsis.
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DO THESE TO PROTECT AGAINST SEPSIS
What measures should be taken against sepsis?
There are both individual and mass measures to be taken against sepsis. We can list them as follows:
– Individual hygiene and hand cleaning effectively wash hands.
– The use of antibiotics only as prescribed under the supervision of a doctor in the necessary cases does not lead to antibiotic resistance.
– Creation of infection prevention and control programs.
– And, of course, the most important thing is to raise public awareness.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
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