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sepsis syndrome

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sepsis syndrome
A constellation of signs, Sx, and systemic responses caused by a wide range of microorganisms that may eventuate into septic shock; SS is a systemic response to infection
Sepsis syndrome, defining parameters  
• Temperature Hypothermia < 35ºC–96ºF or hyperthermia > 39ºC–101ºF
• Tachycardia > 90 beats/minute
• Tachypnea > 20 breaths/minute
• Site of infection Clinically evident focus of infection or positive blood cultures
• Organ dysfunction 1+ end organs with either dysfunction or inadequate perfusion or cerebral dysfunction
• Metabolic derangement Hypoxia–PaO2 < 75 mm Hg, ↑ plasma lactate/unexplained metabolic acidosis
• Fluid imbalance Oliguria–< 30 mL/hr
• WBC counts < 2.0 x 109/L; > 12.0 x 109/L–US: < 2000/mm3; > 12 000/mm3
Note: The confusing semantics of the terms sepsis, sepsis/septic syndrome, and septic shock are unlikely to be resolved in the forseeable future; the terms sepsis and septic syndrome are essentially interchangeable and would in part overlap with septicemia–the early components of a pernicious infectious cascade that has spilled into the circulation; the term septic shock is used when the process becomes virtually irreversible


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Epidemiology of sepsis syndrome in 8 academic medical centers: Academic Medical Center Consortium Sepsis Project Working Group.
Sepsis syndrome and failure to institute treatment with antifungal drugs (the latter occurred mainly in preterminal hematology patients) were independent predictors of death.
Among the CLAL studies, 10 were limited to patients meeting the criteria of sepsis syndrome (SS),[64] and this subgroup was compared with the other CLAL studies (non-SS studies).
 
 
 
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