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Revision as of 04:32, 26 October 2018


Overview

Project1

Sepsis in Adult Patients

Diagnostic Criteria

  • SIRS
  • Sepsis
  • Severe Sepsis
  • Septic Shock
  • Causes

    Focused Initial Rapid Evaluation

    Empiric Antibiotic Therapy

    Dos

    Don'ts


    Risk Score


    Variable Score[1]
    Active gastric or duodenal ulcer 4.5
    Prior bleeding within the last 3 months 4
    Thrombocytopenia (<50x109/L) 4
    Age ≥ 85 years 3.5
    Liver failure (INR>1.5) 2.5
    Severe kidney failure (GFR< 30 mL/min/m2) 2.5
    Admission to ICU or CCU 2.5
    Central venous catheter 2
    Rheumatic disease 2
    Active malignancy 2
    Age: 40-84 years 1.5
    Male 1
    Moderate kidney failure (GFR: 30-59 mL/min/m2) 1
    Variable Score

    References

    1. Decousus H, Tapson VF, Bergmann JF, Chong BH, Froehlich JB, Kakkar AK; et al. (2011). "Factors at admission associated with bleeding risk in medical patients: findings from the IMPROVE investigators". Chest. 139 (1): 69–79. doi:10.1378/chest.09-3081. PMID 20453069.