Sepsis is a life-threatening complication of an infection.
Most people make a full recovery if it's identified and treated quickly. Without quick treatment, sepsis can lead to multiple organ failure and death.
It can be hard to tell if you have sepsis but trust your instincts.
Emergency action required: Call 112 or 999 or go to an emergency department (ED) if
a baby or child under 5:
- has blue, pale or blotchy skin, lips or tongue
- has a rash that does not fade when you roll a glass over it, in the same way you check for meningitis
- is being very sluggish, unusually sleepy and hard to wake
- feels unusually cold to touch
- has had no pee or wet nappies for more than 12 hours
- is breathing very fast
- has fits or convulsions
- has a weak, high-pitched cry that's not like their normal cry
- has an infection, is still unwell after 24 hours or is getting worse
Your child could have sepsis. They may not have all these symptoms. Even if they have just 1, get urgent medical help.
Emergency action required: Call 112 or 999 or go to an ED if
an adult or older child has had an infection and:
- is acting confused, slurring their speech, not making sense or not their usual self
- has difficulty breathing, breathlessness or is breathing very fast
- their lips are blue or slightly blue
- pounding in their chest
- has hands and feet that feel cold, clammy and look pale
- feels dizzy, faint or loses consciousness (passes out)
- is not peeing as much as normal - for example, not peeing for a day
- has a rash that does not fade when you roll a glass over it, in the same way you check for meningitis
- has severe muscle pain
- is complaining of severe leg pain or difficulty standing
- is still unwell after 24 hours or is getting worse
They could have sepsis. They may not have all these symptoms. Even if they have just 1, get urgent medical help.
Signs and symptoms of sepsis
It's not always easy to tell if you are developing sepsis. There are lots of possible symptoms. Symptoms can be vague. They can be similar to symptoms of other conditions, including flu or a chest infection.
Sepsis cannot develop unless you have an infection.
Early signs of sepsis in babies and children under 5
There can be early signs of sepsis in babies and young children.
Urgent advice: Contact your GP or GP out of hours urgently if
your baby or child has an infection and has:
- a temperature of 38 degrees Celsius or higher (in babies under 3 months)
- a temperature of 39 degrees Celsius or higher (in babies age 3 to 6 months)
- a low body temperature (below 36 degrees Celsius) - check again after 5 minutes to confirm
- difficulty breathing, breathlessness or is using their stomach muscles to help them breathe
- no interest in feeding (in babies)
- not drank anything for more than 8 hours when awake
- vomited repeatedly
- blood in their vomit or their vomit is green or black
- sunken eyes
- a bulging soft spot on their head
- no interest in anything, even with encouragement
- been less responsive, irritable or difficult to console
- a stiff neck, especially when trying to look up and down
- not been themselves and you are worried
If your GP thinks it's sepsis, they will usually refer your baby or child to hospital for further diagnosis and treatment.
Early signs of sepsis in adults and older children
Sepsis cannot develop unless you have an infection.
Urgent advice: Contact a GP or GP out of hours urgently if
you or someone you care for has an infection and:
- a high temperature (38 degrees Celsius or above)
- a low body temperature (below 36 degrees Celsius)
- chills and shivering
- a fast heartbeat
- problems with or changes to your breathing
- is feeling or acting differently from normal
- is vomiting
- a headache
- is feeling unwell
Some of the symptoms of sepsis are similar to meningitis.
If your GP thinks it's sepsis, they will usually refer you to hospital for further diagnosis and treatment. If you cannot contact your GP, go to your nearest ED.
Content supplied by the NHS and adapted for Ireland by the HSE
