Düsseldorf – September 10, 2026 -- Ahead of World Sepsis Day on September 13, pharmacies in North Rhine, Germany are urging the public to recognize four warning signs that can distinguish a routine infection from a life-threatening emergency.
Sepsis, once commonly known as blood poisoning, occurs when the body's immune response to an infection spirals out of control and begins damaging its own tissue and organs. Pneumonia, urinary tract infections and infected wounds can all trigger it. "Many people still associate sepsis mainly with an infected wound. In fact, any infection can trigger it," said Thomas Preis, chairman of the North Rhine Pharmacists' Association.
Four simple checks can reveal sepsis symptoms
The campaign #DeutschlandErkenntSepsis recommends a four-step self-check. First, touch the head: sudden confusion, disorientation or unusual apathy may signal the brain is affected. Second, place a hand on the chest: difficulty breathing, shortness of breath or unusually fast breathing indicates the body is under severe strain. Third, feel the heart: a racing pulse, dizziness or circulation problems can point to dangerously low blood pressure. Fourth, check overall feeling: an extreme, unfamiliar sense of illness or unusually severe pain is a key warning sign.
Fever is not a reliable indicator on its own, as it can be present or absent during sepsis. What matters is the overall picture: an existing or suspected infection combined with a sudden, marked decline in health. Dr. Armin Hoffmann, president of the North Rhine Pharmacists' Chamber, stressed that a sudden feeling of severe illness paired with breathlessness, confusion or circulatory problems should be taken especially seriously. Anyone suspecting sepsis or another life-threatening condition should call emergency number 112 immediately and mention the possible sepsis suspicion.
Local pharmacies offer walk-in advice on infections and wound care
Outside of emergencies, pharmacies serve as an accessible, appointment-free resource for coughs, fever, pain or infected wounds. Pharmacists assess whether symptoms can be managed with over-the-counter treatment or require a doctor's visit, and they advise on proper antibiotic use, potential drug interactions, and wound care products. Some pharmacies also administer vaccinations on site, which can help prevent infections that might otherwise progress to sepsis.
"The strength of the local pharmacy lies in combining immediate accessibility with pharmaceutical expertise," Preis said. For suspected sepsis itself, the guidance remains unchanged: skip the pharmacy or doctor's office and call 112 without delay.