Blood Poisoning (Sepsis): Medical History

Medical history (history of illness) represents an important component in the diagnosis of sepsis* (blood poisoning).

Family history

  • What is the general health of your family members?

Social anamnesis

Current medical history/systemic medical history (somatic and psychological complaints) [third-party medical history, if applicable].

  • Do you have a fever? If so, for how long and how high?
  • Have you noticed a pulse that is too fast?
  • Did you notice rapid (strained) breathing?*
  • Do you feel ill? Strongly exhausted?*
  • How long have the symptoms been present? Have they changed in intensity?
  • Is a triggering event remembered?
  • Have there been any neurological abnormalities such as disturbances of consciousness?* .
  • Have you suffered any injuries?

Vegetative anamnesis including nutritional anamnesis.

  • Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
  • Do you use drugs? If yes, what drugs and how often per day or per week?

Self history incl. medication history.

  • Pre-existing conditions (infections)
  • Operations
  • Allergies
  • Pregnancies
  • Medication history

Sepsis can be classified according to the following scores:

  • APACHE II score – acute physiology and chronic health evaluation.
  • Sepsis score according to Elebute/Stoner
  • SAPS-II – simplified acute physiology score
  • SOFA score – sepsis-related organ failure assessment

In these scores, various criteria are recorded. These include blood pressure, pulse, various laboratory parameters, etc.

* If sepsis is suspected, immediate referral to the hospital!