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Sepsis

A global health emergency

When infection turns into a life-threatening systemic response.

Sepsis is life-threatening organ dysfunction caused by a dysregulated response to infection. It can lead to organ failure, long-term complications, and death. Understanding sepsis helps us recognize the signs early and support people at risk.

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Infection
(triggers immune response)
Dysregulated
inflammation
(harms the body)
LungsHeartLiverKidneys

Global Burden

Estimated worldwide cases and sepsis-related deaths.

~49 millioncases in 2017
~11 milliondeaths in 2017
020406060.215.748.91119902017CasesDeaths (millions)

U.S. Burden

CDC estimates for adults each year.

~1.7 millioncases≥350,000deaths or hospice discharges
  • Most cases begin before hospital admission.
  • Underlying conditions are common.
  • Sepsis requires immediate evaluation.
CDC · About Sepsis

Who Is Most Affected?

Older adults have an increased risk.

Risk increases with age

Adults aged 65 and older are among the groups at increased risk of sepsis. Risk also depends on chronic conditions, immune suppression, recent severe illness and other factors.

These factors describe risk groups, not an individual prediction.

CDC: About sepsis →
65+

Older adults are at increased risk of sepsis.

How Sepsis Develops

A dynamic immune response that can change over time.

1
Infection
The trigger

  • Bacteria, viruses, fungi, or parasites cause an infection.
  • Common sources include lungs, urinary tract, abdomen, and skin.
  • Most infections do not lead to sepsis.

2
Hyperinflammation
Can begin early; timing varies

  • Dysregulated inflammatory pathways damage blood vessels and tissues.
  • Microcirculatory changes can impair organ function.
  • Fever or low temperature, rapid breathing, and confusion may occur.

3
Immunosuppression
Can coexist early or persist

  • Inflammation and immunosuppression can coexist.
  • Immune-cell dysfunction can weaken infection control.
  • Some survivors face recurrent infection and long-term complications.

The immune response in sepsis

Hyperinflammation(tissue damage)Immunosuppression(increased risk of infection)Immune responsesTimeHoursto daysDays to weeksand beyond
Hyperinflammation

Excessive inflammatory activity can contribute to tissue damage.

Immunosuppression

Reduced immune defenses can increase susceptibility to infection.

These responses can overlap; their timing and severity vary.

Conceptual illustration, not fixed phases. Inflammation and immunosuppression can coexist from early sepsis.

Common Sources of Infection

Sepsis can originate from many types of infection.

Lungs
(pneumonia)

Urinary tract
(urosepsis)

Abdomen
(intra-abdominal infection)

Skin
(soft tissue infection)

Bloodstream
(bacteremia)

Other
(e.g., meningitis)

Recognize the signs

Confusion, shortness of breath, extreme pain, fever or shivering, and a fast heart rate can signal sepsis. Seek urgent medical care if sepsis is suspected.

Long-Term Effects

Survivors may face lasting health problems.

Reduced
lung function

Cognitive
impairment

Muscle weakness
and fatigue

Recurrent
infections

Heart and vascular
complications

Reduced
quality of life

CDC · Managing Recovery from Sepsis

Prevention and What You Can Do

Lower infection risk. Recognize the signs early.

  • Keep up to date with recommended vaccines.
  • Practice hand hygiene and wound care.
  • Get prompt care for serious infections.
  • Manage chronic conditions with your health-care team.
  • Watch for a worsening infection, confusion, or breathing difficulty.
  • Ask: “Could this infection be leading to sepsis?”
Treatment is urgent

Sepsis needs rapid hospital assessment and treatment, which may include antimicrobials, fluids, organ support, and control of the infection source.

Key Facts

~49 million

estimated global cases in 2017

~11 million

sepsis-related deaths in 2017

~1.7 million

U.S. adult cases each year

≥350,000

U.S. adult deaths or hospice discharges

Major cause

of death and hospitalization

High risk

older adults and people with chronic conditions

Selected sources and references

Artwork illustrates the main mechanisms schematically; molecular sizes, colors and distances are not literal.