Urosepsis

Description:

Urosepsiya represents the most terrible complication of inflammatory diseases of urinogenital system. In such state there is a generalization of an uric infection to development of life-threatening states. It can arise at acute pyelonephritis and an epididymite, purulent prostatitis, etc.

Urosepsis reasons:

The mechanism of development of an urosepsis first of all is connected with existence of obstruction of uric ways. It is caused by increase in intrapelvic pressure with development of lokhanochno-renal refluxes and penetration of microbes into blood vessels. Hit of an uric infection in a blood flow is possible at rough, traumatic catheterization of a bladder, at tool researches (uretrotsistoskoiya), when carrying out a retrograde ureteropiyelografiya, when performing endoscopic surgeries on a kidney and a bladder. During an urosepsis several clinical forms are allocated: bacteriemic shock (endotoxic shock), an acute form of an urosepsis, an acute form with the subsequent long current, a subacute and chronic form.

Urosepsis symptoms:

The clinical picture corresponds to this or that inflammatory disease which led to development of an urosepsis. As a rule, it is high values of body temperature, the expressed oznoba, intoxication. Integuments are pale. Confusion of consciousness is possible. At a blood analysis the leukocytosis decides on shift to the left, increase in SOE. Urine purulent. Very informatively carrying out bacteriological crops of blood.
The most frequent clinical manifestation of an urosepsis is bacteriemic shock. The mechanism of development of this state is connected with the fact that there is an emission in a blood stream of big mass of bacteria from the center of an uric infection. Distinguish the following stages of bacteriemic shock: early, stage of clinical manifestations and terminal. In an early stage sharp and sudden rise in body temperature to high figures, a fever, reduction of amount of urine is characteristic. At patients the lowering of arterial pressure, tachycardia, cold sweat is noted. Further there is an aggravation a condition of the patient: block, cyanosis, consciousness disturbance. In this stage there is some decrease in body temperature. In the third stage irreversible changes in all bodies and fabrics develop.

Treatment of an urosepsis:

Treatment consists in holding urgent resuscitation actions. Drainage of the center of an infection needs to be carried out after stabilization of the general condition of the patient, massive antibacterial therapy is carried out further.