Dear Sepsis-3, we Are Sorry to Say, But we do Not Like You
DOI:
https://doi.org/10.24950/rspmi.846Keywords:
Consensus, Sepsis, Shock, SepticAbstract
Authors have reviewed recent JAMA publications changing
sepsis and septic shock definitions and they express their
point of view and concern with Sepsis-3 task force proposals,
stressing six relevant points: disagreement with the
divorce of the sepsis concept with infections definition and
concept; disagreement with the elimination of systemic inflammatory
response syndrome (SIRS) concept and with
the suppression of the concept of non-infectious SIRS origin;
disagreement with the proposal of two sepsis definitions,
one for the ICU and the other for remaining ambiance;
disagreement with the selection of sequential organ failure
assessment (SOFA) to define sepsis; disagreement with
the fact that Sepsis-3 can delay the diagnosis and consequently
compromise early proper treatment; surprised by
the independent publication of Sepsis-3 task force definitions
without link to the Surviving Sepsis Campaign recommendations
expected for 2016.
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