I suspect sepsis - have I been fobbed off?

I would also add, trust your instinct over a Mumsnet thread and even a doctor. You have mothers intuition for a reason, it isn’t a myth, it’s very real, trust it above all else.

Always ask if it could be sepsis. Despite posters adorning the walls of what to look out for, they don’t see it until it’s too late. If you think she has sepsis, take her back.

You do not die within 24 hours with sepsis, that's a gross generalisation. Very many people have sepsis for days before they're taken seriously and then continue with sepsis for weeks in and out of hospital. If you go into septic shock then you could die quickly but that could be hours or days.

My baby was dying, they were doing everything in their power to keep him alive. He had already “died” in the ambulance on the way to hospital and was on oxygen, after rescue breaths from the EMT.
I was so grateful they did what they did. My son survived and is now a healthy(ish) 8 year old who’s looking at a career in the entertainment industry.
I’m so grateful they hustled me out of there asap. Like I said, I still heard the screaming, but the lovely nurse just took me for a cuppa and sat me down and got me to tell her about my boy rather than having to be in there. When I finally got back, his little onesie was coated in blood; all up both his arms and his back. He had restrictors on his arms to stop him from tearing out his cannulas (in both hands) and massive bandages covering his entire chest and one around his foot to stop him yanking off the O2 Sat monitor.
It was just the worst week of my life.

Say this to those who set OSCE exams in UK universities and see them laugh.

https://sepsistrust.org/

Sepsis is not diagnosed just on blood tests. All those you’ve mentioned would just indicate an infection or inflammation

@ToffeePenniean LP is the only procedure we try and get the parents to go out as it’s so distressing to witness.

They would have assessed her vital signs and assessed her as fit to go home.
It might be worth you counting her heart rate and logging alongside temperature, and blood pressure if you have a machine (long shot).

Did they tell you what to look for e.g sucking in chest, mottled skin, confusion?

Is she getting worse? If so go back or call for advice. She will need a few doses of antibiotics in her to see a big difference

A blood test will not show sepsis.

Did they do observations, ie pulse, blood pressure, sats, resp rate? If so then she can’t have had a high enough PEWS score to need a sepsis bundle otherwise they’d have done one.

Finland. They do the test as if its elevated over a certain level it indicates the infection has likely gone into the kidneys which requires a longer course of antibiotics than for a UTI. Very high levels are associated with sepsis (sepsis isn't the only cause of very high CRP levels but when combined with other symptoms it is a very good indicator). Its also very useful to have a CRP measurement prior to commencing treatment as if the patient doesn't seem to improve checking CRP levels again can indicate if the treatment is working or not. The test also often measures white blood count too, which is another useful indicator.

If you are in any way worried read Martha Mills story and ask for a second opinion under Martha's rule.

I think temp going down is a good sign. I dont think it does with sepsis.

Sepsis usually one of the symptoms is reduced urine output as the infection is widespread and affects other organs.

If your concern is there isn’t a UTI and something has been missed then trust your judgement and get her seen again if you need to. I presume they listened to her chest, palpated her tummy, checked all her other observations?

Trust your judgement.

The OPschild has a known infection. Those markers will be high anyway. A CRP of 200 is high but doesn’t necessarily indicate sepsis you could get that with bacterial infection without sepsis. Hence the whole picture needing to be taken into account.

Kidney infections can make you feel absolutely awful. I had one with such a bad fever that I was hallucinating. Antibiotics tend to give some improvement within 24 hours and a lot of improvement within 3 days. I would see how she is tomorrow. She has been checked by a medical professional and they have ruled out sepsis, tbf it doesn’t sound like she has the usual symptoms such as not passing urine

It isn’t diagnosed by blood work alone but as a consultant once said to me ‘you’re young, you can look ok until you are suddenly not.’ It forms part of the picture sometimes it’s a bigger part than others if the body is compensating.

Agree!!!! A blood test will definitely show sepsis!! CRP, white cells and neutrophils and other results will be through the roof!!!
i was told by the Paediatric assessment unit my son just had gastritis and we were sent home, I asked for a blood test but they didn't do it. During the night he became delerious, high temperature and had the "sepsis smell" (very sour smell). He went straight back in and the bloods showed a CRP in the 200s (it's a marker of inflammation that's meant to be under 5). Turned out he had a ruptured appendix and had emergency surgery there and then.
I don't want to frighten you OP but definitely go back immediately if things don't get better/deteriorate. It's good she's on oral antibiotics but if they don't help she may need admitting for IV antibiotics.

I’ve had terrible utis with and without then developing sepsis.

Did they do basic obs on her? If they did and they are fine then I’d expect them to send you home with safety netting advice.

A temp that high will cause a headache. And a kidney infection will make you feel pretty rough. If she gets worse after starting to take the antibiotics or they aren’t working at all after 24hrs then she needs to be seen again by somebody. Otherwise, keep her fluids up and make sure she is still passing urine and carry on with the antibiotics.

Your condition doesn't have to be deteriorating rapidly to ask for a review under Martha's law.

Your condition doesn't even have to be deteriorating.

As a carer, relative, member of staff, anyone can ask for a review or a second opinion under Martha's.

However not all hospitals have a a team responding to those calls. Its an initiative that's being rolled out.

OP, if you are worried just take her back and trust your instinct. A UTI shouldn't mean she can't lift her head.

There is something called Martha's Rule but you have to be in hospital and condition deteriorating rapidly.

Any infection can cause sepsis.

How do you know what they have assessed her for, were you there?

First of all UTI can cause sepsis

second it is not clear if they assessed her for appendicitis?

Which country?
The child in question has an infection, hence a course of antibiotics.....so a blood test would show what? An infection....what's already being treated......

Once again, Sepsis, isn't diagnosed from a blood test, or one marker, or one result, it is diagnosed by looking at the bigger picture and assessing treatments and responses.