The definitions are really based solely in the 2 consensus conferences (Bone and Levy). Criteria in research studies apply an interpretation of these definitions.
Ron On Mon, Feb 27, 2012 at 5:48 PM, Andy Bourgeois <[email protected]>wrote: > SIRS criteria have been defined differently in various studies. > > The temperature was 38 degrees C in a few early articles: > > *One of the early definitions of sepsis:* > Definitions for sepsis and organ failure and guidelines for the use of > innovative therapies in sepsis. The ACCP/SCCM Consensus Conference > Committee. American College of Chest Physicians/Society of Critical Care > Medicine. > Bone RC, Balk RA, Cerra FB, Dellinger RP, Fein AM, Knaus WA, Schein RM, > Sibbald WJ. > Chest. 1992 Jun;101(6):1644-55. Review > > *The original Early Goal Directed Therapy article from 2001* > Early goal-directed therapy in the treatment of severe sepsis and septic > shock. > Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson > E, Tomlanovich M; Early Goal-Directed Therapy Collaborative Group. > N Engl J Med. 2001 Nov 8;345(19):1368-77. > > Most of the more recent studies and reviews use 38.3 degrees C: > > *International Sepsis Definitions Conference in 2001* > 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. > Levy MM, Fink MP, Marshall JC, Abraham E, Angus D, Cook D, Cohen J, Opal > SM, Vincent JL, Ramsay G; SCCM/ESICM/ACCP/ATS/SIS. > Crit Care Med. 2003 Apr;31(4):1250-6. Review. > > *In this 2006 review article from some of the original Early Goal > Directed Therapy investigators:* > Severe sepsis and septic shock: review of the literature and emergency > department management guidelines. > Nguyen HB, Rivers EP, Abrahamian FM, et al. > Ann Emerg Med. 2006 Jul;48(1):28-54. Epub 2006 May 2. Review. > > *The Surviving Sepsis Campaign - 2008* > Surviving Sepsis Campaign: international guidelines for management of > severe sepsis and septic shock: 2008. > Dellinger RP, Levy MM, Carlet JM, et al. > Crit Care Med. 2008 Jan;36(1):296-327. Erratum in: Crit Care Med. 2008 > Apr;36(4):1394-6. > > I'd recommend 38.3 degrees C to match the more recent definitions so that > your sepsis statistics can be easily compared to published studies. > > Here's an article on comparison of methods of measuring temperature. > Bottom line is that IR ear probes are somewhat variable and axillary reads > too low. Go with oral, rectal or bladder. > > Erickson RS, Kirklin SK. Comparison of ear-based, bladder, oral, and > axillary > methods for core temperature measurement. Crit Care Med. 1993 > Oct;21(10):1528-34. > PubMed PMID: 8403963. > > > Andy Bourgeois, MD, FAAEM, FACEP > Emergency Medicine > Simi Valley Hospital > > > > > On Thu, Feb 23, 2012 at 11:47 AM, Johnston, Roberta < > [email protected]> wrote: > >> Hi everyone- Our Sepsis committee would like to know if the temp >> criteria is 38.3 or 38, and is the method of obtaining the temperature? >> Thanks in advance, Roberta**** >> >> ** ** >> >> Roberta Johnston, RN,BS,CMC. >> Cardiopulmonary Case Manager >> 700 High St. >> Williamsport, Pa. 17701 >> Phone:570-321-2112, Fax:570-321-2822;Cell: 570-560-8993 >> [email protected]**** >> >> >> **** >> >> Confidentiality Notice: This message and any attachments originate by >> electronic mail from Susquehanna Health System and their >> subsidiaries/affiliates (“SHS”). Both this document and any attachments >> are intended for the sole use of the addressee indicated above and may >> contain proprietary, privileged and/or confidential information. If you >> are not the intended recipient of this message, you are hereby notified >> that any use or disclosure of this information is strictly prohibited. If >> you received this message in error, or have reason to believe you are not >> authorized to receive it, please notify the sender by reply email, with a >> copy to [email protected] and then promptly delete the >> original and reply messages. Thank you for your cooperation.**** >> >> ** ** >> >> _______________________________________________ >> Sepsisgroups mailing list >> [email protected] >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org >> >> > > _______________________________________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > -- Dr Ron Daniels Executive Director: Global Sepsis Alliance *Suspect Sepsis: save someone's life today.* * * *Sign our e-petition at **http://epetitions.direct.gov.uk/petitions/19602* * * Fellow: NHS Improvement Faculty Chair: Surviving Sepsis Campaign United Kingdom Chair: United Kingdom Sepsis Group Survive Sepsis Programme Director First Trustee: U.K Sepsis Trust *Twitter: @sepsisuk*
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