← Master Index· Section 8 · Infectious Diseases · Chapter 46

Sepsis and Septic Shock

Sepsis & Septic ShockSOFAVasopressorsEmpiric Antibiotics

30-Second Snapshot

What it is:Sepsis is life-threatening organ dysfunction caused by a dysregulated host response to infection (Sepsis-3, 2016). Septic shock is the subset of sepsis where the circulation and cellular metabolism are deranged enough to markedly raise mortality: persistent hypotension that needs vasopressors to keep mean arterial pressure (MAP) at 65 mm Hg, plus a lactate above 2 mmol/L, despite adequate fluid resuscitation.

The core problem:the infection itself is often not what kills the patient, it's the body's own runaway response to it. Pro-inflammatory cytokines damage the vascular endothelium, protein C (which normally calms inflammation and supports fibrinolysis) gets consumed, and the vasculature dilates and leaks while microthrombi form in parallel. The net hemodynamic picture is a hyperdynamic state: high cardiac output, but pathologically low systemic vascular resistance, so end organs stop getting adequately perfused even though the heart is pumping hard.

What you do about it:you run against a clock. Cultures, broad-spectrum antibiotics, and a 30 mL/kg crystalloid bolus all start within the first hour, before you even know the organism. Everything after that is de-escalation, hemodynamic titration, and organ support.

Organizing mental model

Think of the first hours of sepsis care as four levers pulled simultaneously, not sequentially: (1) find and hit the bug, cultures plus broad-spectrum antibiotics plus source control, (2) refill the tank, fluids, (3) support the pressure, vasopressors once fluids alone aren't enough, and (4) protect the other organs, glucose control, coagulation, renal and GI protection. Nearly every guideline recommendation in this chapter is just a more detailed instruction for one of those four levers.

Sepsis-2 vs Sepsis-3 - Know Both

Sepsis-3 (2016) didn't just tweak the old criteria, it collapsed two tiers into one. "Severe sepsis" no longer exists as its own category, because the new definition of sepsis already requires organ dysfunction.

ConceptSepsis-2 (2012)Sepsis-3 (2016)
Screening toolSIRS: ≥2 of temp >38°C or <36°C, HR >90/min, RR >20/min, WBC >12,000 or <4,000/mm³ or >10% bandsSOFA score, acute change ≥2 points
SepsisSIRS + probable or documented infectionLife-threatening organ dysfunction from a dysregulated host response to infection
Severe sepsisSepsis + ≥1 organ dysfunction or hypoperfusionRetired.Folded into "sepsis" since organ dysfunction is now baked into the definition
Septic shockSepsis + hypotension refractory to 30 mL/kg fluids, or lactate >1 mmol/LSepsis + vasopressor-requiring hypotension to MAP ≥65 mm Hg + lactate >2 mmol/L despite adequate fluids
The distinction that gets tested

The lactate cutoff for septic shock moved from >1 mmol/L to >2 mmol/Lbetween the two guidelines, and it's now paired with a vasopressor requirement rather than an "or." SIRS criteria are sensitive but nonspecific (a patient with the flu can meet SIRS), which is exactly why Sepsis-3 shifted the screening tool to SOFA, which tracks actual organ dysfunction.

SOFA scores six organ systems, pulmonary, hepatic, cardiovascular, renal, coagulation, and neurological, each from 0 to 4. An acute rise in total SOFA of ≥2 pointsin a patient with presumed infection is the operational definition of sepsis, and it's associated with roughly a 10% increase in hospital mortality.

Pathophysiology - Why the Bundle Looks Like It Does

Who ends up here

Risk climbs at the extremes of age and with preexisting conditions that either predispose to infection or blunt the ability to fight one off: heart failure, diabetes, COPD, cirrhosis, alcohol use disorder, end-stage renal disease, and other immunosuppressive states like malignancy or HIV.

Where the infection starts, and what's growing

SourceFrequency
Lung40-42%
Intra-abdominal31-34%
Genitourinary11-15%

On blood culture, gram-negative organisms show up in 44-59% of cases, gram-positives in 37-52%, anaerobes in 5%, and fungi in 4-10%. E. coli is by far the most common gram-negative isolate(55-60%), followed by Klebsiella, Proteus, Enterobacter, and Pseudomonas aeruginosa. S. aureusleads the gram-positives, followed by coagulase-negative staph, Enterococcus, and S. pneumoniae. Among fungi, Candida albicans is the dominant bloodstream pathogen.

Mortality tracks severity, and organism matters

Mortality climbs sharply with disease severity: 3.5% in sepsis, 9.9% in severe sepsis, 29% in septic shock.Pseudomonas raises mortality further within that curve. Candidemia is its own outlier: 30-day mortality for septic shock caused by candidemia is 54%, worse than most bacterial causes.

The mechanism that ties it together

Gram-negative organisms trigger this cascade through lipopolysaccharide (endotoxin), and specifically its Lipid A component, which is intensely immunoreactive and drives most of the downstream toxicity. Gram-positive organisms do something analogous through exotoxin and peptidoglycanon the cell wall surface. Either trigger sets off a flood of pro-inflammatory cytokines (TNF-α, IL-1, IL-6, IL-12) that's supposed to be balanced by anti-inflammatory mediators (IL-1 receptor antagonist, IL-4, IL-10), but in sepsis that balance fails. Early TNF-α also stimulates cyclooxygenase-derived products (thromboxane A2, prostaglandins) that directly injure vascular endothelium.

That endothelial injuryis the central lesion: damaged endothelium lets granulocytes and plasma constituents leak into tissue that shouldn't be inflamed, and that's what produces organ damage. At the same time, protein C, which normally enhances fibrinolysis and dampens inflammation, gets consumed and depleted, tipping the whole system further toward clotting and inflammation simultaneously. That combination (clotting and leaking, at once) is what produces DIC.

The unlock for the whole treatment section

The hemodynamic hallmark of sepsis is low systemic vascular resistance with a high (or preserved) cardiac output, the vessels are pathologically dilated, not the pump that's failing. That's why the first-line drug is a vasoconstrictor(norepinephrine), not an inotrope, and it's why dopamine, which leans harder on beta-1/chronotropic effects at moderate doses, is a worse fit than a drug that's almost purely alpha-1.

Clinical Presentation

Presentation depends heavily on the site of infection, the patient's baseline health, and how far organ dysfunction has progressed. It ranges from vague and easy to miss, to obviously critical.

StageFindings
Early / nonspecificMalaise, myalgia, fever orhypothermia, chills, tachycardia, tachypnea, change in mental status
Organ dysfunction (progressing sepsis)Oliguria, hemodynamic instability or frank shock, lactic acidosis, hyperglycemia or hypoglycemia, leukopenia, DIC, thrombocytopenia, ARDS, GI hemorrhage, coma
Hemodynamic signature (septic shock)Warm, flushed skin early (low SVR), tachycardia, widened then narrowing pulse pressure as shock progresses, refractory hypotension
Easy to confuse

Don't anchor on fever. Hypothermia is just as much a sepsis finding as fever, especially at the extremes of age, and a normal or low WBC (leukopenia) is just as consistent with sepsis as leukocytosis. A patient who "doesn't look infected" on a quick vital sign scan can still be septic.

Diagnosis & Workup

There's no single confirmatory test. Diagnosis is the combination of a documented or probable infection plus objective evidence of organ dysfunction, operationalized as an acute SOFA rise of ≥2 points.

Test / MarkerThresholdWhat it tells you
Lactate≥2 mmol/L (≥18 mg/dL)Marker of tissue hypoperfusion; repeat within 2 hours if elevated
Lactate≥4 mmol/L (≥36 mg/dL)Bundle trigger for immediate 30 mL/kg fluid resuscitation
SOFA scoreAcute rise ≥2 pointsOperational definition of sepsis; associated with ~10% higher mortality
MAP<65 mm Hg after fluidsTrigger to start vasopressors
CulturesBlood, urine, sputum, or other suspected siteObtain before antibiotics if it doesn't delay treatment; never let it push antibiotics past the 1-hour mark
How to actually use lactate

A single lactate value tells you how sick the patient is right now. The trendtells you whether resuscitation is working. Normalizing an elevated lactate is itself a resuscitation target, not just a lab you note and move on from.

⏱ The Hour-1 Bundle

The goals of treatment are timely diagnosis and pathogen identification, prompt hemodynamic support, source control (medical and/or surgical), early broad-spectrum antimicrobials, and avoiding progression to organ failure or shock. The Sepsis-3 performance bundle packages the first hour of care into four things that all start at once, not in sequence.

1

Lactate

Measure immediately.

Repeat in 2 hoursif initial ≥2 mmol/L
2

Cultures

Blood, urine, sputum, etc.

Draw beforeantibiotics, don't delay treatment for it
3

Antibiotics

Broad-spectrum IV, against likely pathogens.

Within 1 hourof recognition
4

Fluids + Pressors

Crystalloid bolus, then vasopressors if still hypotensive.

30 mL/kgfor hypotension or lactate ≥4 mmol/L; pressors if MAP <65 after
Worth knowing

Compliance with this bundle is tracked as a quality metric, and the outcomes that matter downstream are ICU/hospital length of stay, rate of organ dysfunction, and mortality. The whole point of packing everything into 60 minutes is that sepsis can progress even with good fluids and antibiotics if source control lags, so speed on every front matters simultaneously.

Fluid Resuscitation & Hemodynamic Support

Early, effective fluid resuscitation is what prevents progression from sepsis-induced hypoperfusion to full septic shock. Give at least 30 mL/kg of IV crystalloid within the first 3 hours(strong recommendation, low-quality evidence), then reassess.

Avoid hetastarch, always

Hydroxyethyl starch products increase the risk of renal failure, need for renal replacement therapy, and deathacross multiple studies. There's no scenario in septic shock where hetastarch is the right choice.

The four phases of fluid therapy (ROSE)

PhaseTimeframeFluid goal
ResuscitationMinutesPositive fluid balance is expected, especially right after the 30 mL/kg bolus
OptimizationHoursNeutral balance, intake roughly matching output
StabilizationDaysNeutral to net negative; maintenance-only fluids (~30 mL/kg/day)
EvacuationDays to weeksNet negative balance, actively removing accumulated fluid

The practical takeaway: the same patient who needed aggressive fluids on day 1 can be fluid-overloaded by day 3 if nobody moves them through these phases. Fluid therapy isn't a one-time decision, it's a moving target across the admission.

Antimicrobial Therapy - Principles

Empiric IV broad-spectrum antibiotics start within 1 hourof recognizing sepsis or septic shock (strong recommendation, moderate evidence), aimed at the most likely bacterial or fungal pathogens given the suspected source.

Distractor to watch for

Cultures should be drawn beforeantibiotics when possible, but that sequencing must never delay antibiotic administration past the 1-hour window. If cultures can't be obtained fast enough, treat first.

Empiric antifungal coverage and duration of therapy

Give empiric antifungal therapy to patients at high risk of fungal infection (weak recommendation, low-quality evidence). For suspected invasive candidiasis in nonneutropenic ICU patients, the preferred empiric choice is an echinocandin(anidulafungin, micafungin, or caspofungin). Triazoles(fluconazole, voriconazole) are an option in hemodynamically stable patients who haven't had recent triazole exposure and aren't known to be colonized with an azole-resistant Candida species.

Duration:the average course for bacterial sepsis is 7-10 dayswithout source control complications; fungal infections typically need 10-14 days. The Surgical Infection Society recommends no more than 4 full daysof antimicrobials when source control was adequate, and no more than 5-7 dayswhen definitive source control wasn't achieved. Clinical improvement plus a falling procalcitonin can support shortening a course further (weak recommendation, low-quality evidence).

Empiric Regimens by Source

Coverage splits along two axes: where the infection is, and whether it's community- or hospital-acquired (hospital-acquired regimens lean broader and add antipseudomonal or MRSA coverage).

SourceCommunity-AcquiredHospital-Acquired
Urinary tract
 Ceftriaxone or ciprofloxacin/levofloxacinCeftriaxone/ceftazidime or ciprofloxacin/levofloxacin
Respiratory tract
 Levofloxacin 750 mg daily or moxifloxacin, or ceftriaxone + clarithromycin/azithromycinPiperacillin/tazobactam or ceftazidime or cefepime or a carbapenem, + levofloxacin/ciprofloxacin or an aminoglycoside, ± vancomycin or linezolid
Intra-abdominal
 Ertapenem or ciprofloxacin/levofloxacin + metronidazole, or ceftriaxone + metronidazoleA carbapenem or piperacillin/tazobactam or ceftazidime/cefepime, + metronidazole
Skin / soft tissue
 Vancomycin or linezolid or daptomycinVancomycin + piperacillin/tazobactam
Catheter-related
 Vancomycin
Unknown source
 Piperacillin/tazobactam or a carbapenemA carbapenem

Carbapenem here means imipenem, meropenem, or doripenem. Levofloxacin for respiratory sepsis is dosed higher than routine outpatient dosing (750 mg once daily).

Vasopressors & Inotropes

Once fluids alone aren't holding MAP ≥65 mm Hg, start a vasopressor and titrate carefully to an endpoint of adequate organ perfusion, not just a number on the monitor.

DrugReceptor emphasisHRSVRCORole in septic shock
Norepinephrineα1 dominant, mild β1↔/↑↑↑First-line.Raises pressure without heavy chronotropic cost
VasopressinV1↔/↓↑↑↔/↓Add-on to norepinephrine instead of escalating the norepinephrine dose further
Epinephrineα1 = β1 = β2, all strong↑↑↑↑Second-line/refractory shock; more arrhythmogenic
Phenylephrineα1 only↔/↓↑↑Pure vasoconstrictor, no inotropy; reflex bradycardia can drop CO
Dopamine, low (0.5-2 mcg/kg/min)Dopaminergic↔/↑↔/↑"Renal-dose" dopamine; no longer recommended, no proven renal protection
Dopamine, mid (5-10 mcg/kg/min)β1, some α1/β2↔/↑↑↑Inotropic/chronotropic range
Dopamine, high (10-20 mcg/kg/min)α1 dominant↑↑Vasopressor range; more arrhythmogenic than norepinephrine
Angiotensin IIAT1Adjunct in refractory shock
Why norepinephrine wins

Compared to dopamine, norepinephrine is less arrhythmogenic and is associated with lower mortalityin septic shock. Dopamine's heavier beta-1 chronotropic push and higher arrhythmia risk are exactly the trade-offs you're trying to avoid in a patient who's already hemodynamically unstable. "Renal-dose" dopamine is an outdated concept: it never showed kidney protection and just adds arrhythmia risk.

Adjunctive Therapy

Corticosteroids - when, how much, and why you must taper

IV hydrocortisone is a weak recommendation, low-quality evidenceaddition for septic shock patients with an ongoing vasopressor requirement, it's an adjunct for refractory shock, not routine first-line therapy.

Trigger and dose:add low-dose hydrocortisone 200 mg/daywhen the patient needs an ongoing norepinephrine dose >0.25 mcg/kg/min for at least 4 hoursto maintain the target MAP.

Never stop abruptly

Taper hydrocortisone once vasopressors are no longer needed. Abrupt cessation has been linked to hemodynamic and immunologic rebound, essentially un-doing the stability you just built.

Glucose control

Start an insulin dosing protocol once two consecutive blood glucose readings exceed 180 mg/dL (10 mmol/L)(strong recommendation, high-quality evidence). Target an upper blood glucose below 180 mg/dL, with a practical target range of 144-180 mg/dL (8-10 mmol/L). Tight, near-normal glycemic control isn't the goal here, avoiding both marked hyperglycemia and iatrogenic hypoglycemia is.

VTE and stress ulcer prophylaxis

VTE prophylaxis:daily subcutaneous low-molecular-weight heparinis preferred over unfractionated heparin (strong recommendation, moderate evidence) for essentially all ICU patients admitted with sepsis or septic shock. If pharmacologic prophylaxis is contraindicated (active bleeding, severe thrombocytopenia), use mechanical prophylaxis instead.

Stress ulcer prophylaxis:give it to patients who have bleeding risk factors (strong recommendation, low-quality evidence). Either a proton pump inhibitor or an H2-receptor blocker is acceptable (weak recommendation, low-quality evidence), this isn't a drug-specific mandate, it's a class-level one.

Key Complications

Uncontrolled sepsis, or sepsis without source control, doesn't just plateau, it produces a specific and predictable set of downstream organ injuries.

Source control isn't optional

Sepsis can keep progressing even with rapid, appropriate fluids and antibiotics if the underlying source, an abscess, an infected line, necrotic tissue, isn't controlled medically or surgically. Antibiotics buy time; they don't substitute for draining or removing the source.

Monitoring - What, When, Why

ParameterWhenWatching for
LactateBaseline, repeat within 2 hours if initial ≥2 mmol/LTrend toward normal = resuscitation is working; persistently high = ongoing hypoperfusion
MAPContinuously once on vasopressorsKeep ≥65 mm Hg; guides pressor titration
Urine output, mental status, skin perfusionContinuouslyEnd-organ perfusion; don't chase the MAP number while ignoring the patient
Blood glucoseFrequently while on an insulin protocolTarget 144-180 mg/dL, avoid hypoglycemia
SOFA / organ function labsSerial, at least dailyWorsening trend = escalate support; improving = consider de-escalation
Culture results and clinical statusDailyDe-escalate or narrow antibiotics as soon as it's safe; also guides total duration
Platelets, PT/INR, fibrinogenIf DIC is suspectedEvolving consumptive coagulopathy
Vasopressor dose trendContinuouslyNorepinephrine >0.25 mcg/kg/min for ≥4h triggers hydrocortisone; a falling requirement triggers the steroid taper

Communication - Patient & Family

Septic patients are frequently altered, sedated, or intubated, so most of this "counseling" happens with family at bedside, plus the patient at the point of discharge.

  • Explaining empiric antibiotics:"We're starting a broad antibiotic right now, before we even know exactly what's causing the infection, because every hour of delay here raises the risk of this becoming life-threatening. Once we know the exact organism, we'll narrow it down."
  • Explaining fluids and pressors to family:"The IV fluid and the medication running through the central line are supporting blood pressure so the organs keep getting blood flow while we treat the underlying infection."
  • Explaining the steroid, if used:"This low-dose steroid is helping your blood pressure medication work while the body's own stress response catches up. We'll taper it down, not stop it suddenly, once you're stable off the pressor."
  • Discharge counseling if an oral antibiotic course continues:"Finish every dose of this prescription even once you feel completely back to normal. Stopping early is exactly how resistant infections get a foothold."
  • Post-sepsis recovery expectations:"It's common to feel unusually tired, foggy, or anxious for weeks to months after a sepsis admission, that's called post-intensive care syndrome, and it's expected, not a sign something new is wrong. Bring it up at follow-up."
  • Recognizing it next time:"If you ever notice a fever, sudden confusion, or just feeling unusually unwell after an infection, a wound, or a surgery, don't wait it out. Sepsis can move from mild to critical within hours."

High-Yield Recall Sheet

  • Sepsis-3:sepsis = infection + organ dysfunction (SOFA rise ≥2). Septic shock = sepsis + vasopressor-requiring hypotension + lactate >2 mmol/L despite adequate fluids.
  • "Severe sepsis" is retired.Sepsis-3 folded it into the definition of sepsis itself.
  • Hour-1 bundle:lactate, cultures, broad-spectrum antibiotics, and a 30 mL/kg fluid bolus all start within 60 minutes, in parallel.
  • Cultures before antibiotics, never at the cost of delaying antibioticspast the 1-hour mark.
  • Lung is the most common source(40-42%), then intra-abdominal (31-34%), then GU (11-15%).
  • E. coliis the most common gram-negative isolate; Pseudomonasraises mortality the most among gram-negatives.
  • Mortality scales with severity:3.5% sepsis → 9.9% severe sepsis → 29% septic shock.
  • Candidemia septic shock mortality is 54%, worse than most bacterial causes.
  • Norepinephrine is first-line, less arrhythmogenic and lower mortality than dopamine.
  • Add vasopressin instead of escalating norepinephrine furtheronce doses climb, don't just keep pushing the norepi dose.
  • MAP goal is 65 mm Hgon vasopressors.
  • Never use hetastarch.It raises renal failure, RRT need, and death.
  • Hydrocortisone 200 mg/dayif norepinephrine >0.25 mcg/kg/min for ≥4 hours; always taper, never stop abruptly.
  • Glucose:trigger insulin protocol at two consecutive readings >180 mg/dL; target range 144-180 mg/dL.
  • LMWH beats UFHfor VTE prophylaxis in ICU sepsis patients.
  • Antibiotic duration:~7-10 days typical (10-14 days for fungal); 4 days with good source control, 5-7 days without, per the Surgical Infection Society.
  • Echinocandins(anidulafungin, micafungin, caspofungin) are empiric first-line for suspected invasive candidiasis in nonneutropenic ICU patients.
  • Nosocomial infection defaults you toward empiric vancomycinfor MRSA coverage.
  • ROSE fluid phases:Resuscitation → Optimization → Stabilization → Evacuation.
  • Post-sepsis:watch for post-intensive care syndrome, physical, cognitive, and psychological effects can linger for months after discharge.