What Are the Main Causes of Sepsis in Nursing Homes?

In nursing homes, sepsis often arises from infections that are not promptly or properly treated. The biggest causes of sepsis in nursing homes include:

• Urinary Tract Infections (UTIs): UTIs are common in the elderly, especially residents with catheters. When UTIs are ignored or untreated, the infection can spread to the bloodstream and cause sepsis.
• Respiratory Infections: Pneumonia and other respiratory infections are also common among nursing home residents. When nursing homes fail to manage these infections effectively, they can become severe and may lead to sepsis.
• Skin Infections: Bedsores (pressure ulcers), cuts and other open skin wounds have a higher risk of infection. Left untreated or unmonitored, they can progress to a more severe infection or sepsis.
• Gastrointestinal Infections: Infections in the gastrointestinal tract, such as those caused by clostridioides difficile (C. diff.), can also lead to sepsis if they become severe or spread.
• Invasive Devices: Devices like intravenous lines, catheters, and feeding tubes can introduce bacteria into the body, leading to infections that may cause sepsis.
• Surgical Wounds: Post-surgical infections can occur if wounds are not properly cared for, potentially leading to sepsis.
• Weakened Immune Systems: Many nursing home residents have a higher risk for developing sepsis because they have weakened immune systems due to age, chronic illnesses or medications.

Proper hygiene, regular monitoring and prompt treatment of infections are crucial steps nursing homes must take to help reduce the risk of sepsis in nursing home residents. Staff also need regular training on infection control practices. It is the nursing home’s duty to maintain a clean environment.