SEPSIS FACTS

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SEPSIS FACTS

Is this patient in sepsis ?

65 yr old male patient has been referred from a rural hospital with fever, cough and breathlessness of 5 days duration. He is a known diabetic. Patient is conscious but incoherent.

  •   130/70 mm of Hg
  •   120/min
  •   35/min
  •   95% on RA
  •   454 mg/dl

    • Definition

    Sepsis is a dysregulated inflammatory response to an infection that may lead to life-threatening organ dysfunction. Earlier recognition through the use of screening tools is associated with earlier treatment and decreased mortality


    Screening tools



    Simpler screening tools



    qSOFA (Quick SOFA) Criteria

  •   Respiratory rate ≥22/min
  •   Altered mentation GCS < 13
  •   Systolic blood pressure ≤100 mm Hg

    • LqSOFA

    Given the ready availability of the variables of the qSOFA score and when we add point of care lactate, there is increase in sensitivity.

    Hence, LqSOFA score is recommended for use, if point of core lactation is available.

    So, the patient mentioned above is likely to be sepsis, as his score is 2 as he has altered mental status and tachypnea.