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Anaesthesist. 2017 Aug;66(8):614-621. doi: 10.1007/s00101-017-0316-2.

[New Sepsis-3 definition : Do we have to treat sepsis before we can diagnose it from now on?]

[Article in German]

Author information

1
Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland. Thomas.schmoch@med.uni-heidelberg.de.
2
Zentrale Notaufnahme, Universitätsklinikum Leipzig AöR, Leipzig, Deutschland.
3
Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.
4
Klinik für Anästhesiologie, Universitätsmedizin Greifswald, Greifswald, Deutschland.

Abstract

The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) have been available since the beginning of 2016. SEPSIS-3 completely replaces the old SIRS criteria in the definition of sepsis and defines sepsis from now on as "life-threatening organ dysfunction caused by a dysregulated host response to infection". However, it seems questionable whether in clinical practice the new definition is really superior to the old one. The most important question is the following: Is it helpful to have a definition that first recognizes a patient once organ dysfunction has occurred and the patient already needs intensive care?

KEYWORDS:

Criticisms; Prognosis estimate; SOFA score; Sepsis-3; qSOFA

PMID:
28497242
DOI:
10.1007/s00101-017-0316-2
[Indexed for MEDLINE]

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