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Sepsis 3 (2016)

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Florin Pintea
Florin Pintea

Sepsis-3 new definitions

Health & Medicine
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Noile definiţii pentru sepsis The 3rd International Consensus (2016) Sepsis-3 dr. Florin Pintea
Se renunţă la termenii: SIRS Sepsis sever Se introduc: Noi definitii Noi criterii clinice
Sepsis: “disfuncţie organică ameninţătoare de viaţă cauzată de un răspuns dereglat al gazdei faţă de infecţie” Şocul septic: “subgrup al sepsisului, în care anomaliile circulatorii şi celulare/metabolice subiacente sunt suficient de profunde astfel încât să determine o creştere importantă a mortalităţii” Definiţii
Criterii clinice (I) Sepsisul: -”infectie cu disfunctie de organ” -”disfunctia organica poate fi identificata ca o crestere acuta a scorului total SOFA ≥ 2 puncte, consecutiv infectiei”
Scorul SOFA a fost validat pentru pacientii din sectiile de TI In urgente, ambulator, pe sectii, s-a dezvoltat un instrument pentru identificarea pacientilor cu risc de sepsis: qSOFA “quick SOFA” ≥ 2 criterii clinice => risc crescut de sepsis formula mnemotehnica: HAT - Hipotensiune (TAS ≤ 100 mmHg) - Status mental alterat (scor GCS anormal) - Tahipnee (RR ≥ 22/min)
Criterii clinice (II) Şocul septic: - Sepsis şi -Necesar de vasopresoare pentru mentinerea unei TA medii ≥ 65 mmHg, in pofida unei resuscitari volemice corecte şi - Lactat seric ≥ 2 mmol/L (sau ≥ 18 mg/dl)
Bibliografie: The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) http://jamanetwork.com/journals/jama/fullarticle/2492881 https://www.youtube.com/watch?v=L5xKW--drRg
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Sepsis 3 (2016)

  • 1. Noile definiţii pentru sepsis The 3rd International Consensus (2016) Sepsis-3 dr. Florin Pintea
  • 2. Se renunţă la termenii: SIRS Sepsis sever Se introduc: Noi definitii Noi criterii clinice
  • 3. Sepsis: “disfuncţie organică ameninţătoare de viaţă cauzată de un răspuns dereglat al gazdei faţă de infecţie” Şocul septic: “subgrup al sepsisului, în care anomaliile circulatorii şi celulare/metabolice subiacente sunt suficient de profunde astfel încât să determine o creştere importantă a mortalităţii” Definiţii
  • 4. Criterii clinice (I) Sepsisul: -”infectie cu disfunctie de organ” -”disfunctia organica poate fi identificata ca o crestere acuta a scorului total SOFA ≥ 2 puncte, consecutiv infectiei”
  • 5.
  • 6.
  • 7. Scorul SOFA a fost validat pentru pacientii din sectiile de TI In urgente, ambulator, pe sectii, s-a dezvoltat un instrument pentru identificarea pacientilor cu risc de sepsis: qSOFA “quick SOFA” ≥ 2 criterii clinice => risc crescut de sepsis formula mnemotehnica: HAT - Hipotensiune (TAS ≤ 100 mmHg) - Status mental alterat (scor GCS anormal) - Tahipnee (RR ≥ 22/min)
  • 8.
  • 9. Criterii clinice (II) Şocul septic: - Sepsis şi -Necesar de vasopresoare pentru mentinerea unei TA medii ≥ 65 mmHg, in pofida unei resuscitari volemice corecte şi - Lactat seric ≥ 2 mmol/L (sau ≥ 18 mg/dl)
  • 10.
  • 11.
  • 12. Bibliografie: The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) http://jamanetwork.com/journals/jama/fullarticle/2492881 https://www.youtube.com/watch?v=L5xKW--drRg