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. 2023 Sep 4;11(9):2231. doi: 10.3390/microorganisms11092231

Table 1.

Evolution of sepsis definitions. MAP: mean arterial pressure, SOFA: Sequential Organ Failure Assessment.

1992 SEPSIS—1
Bone et al. [3]
Sepsis
Systemic inflammatory response to infection
Severe Sepsis
Sepsis associated with organ dysfunction, hypoperfusion,
or hypotension
Septic Shock
Sepsis-induced hypotension despite adequate fluid resuscitation along with the presence of perfusion abnormalities
2001 SEPSIS—2
Levy et al. [4]
Sepsis
A clinical syndrome
defined by the presence of both infection and a systemic inflammatory response
Severe Sepsis
Sepsis associated with organ dysfunction, hypoperfusion,
or hypotension
Septic Shock
State of acute circulatory failure characterized by persistent arterial hypotension unexplained by other causes
2016 SEPSIS—3
Singer et al. [5]
Sepsis
A life-threatening organ
dysfunction caused by a dysregulated host response
to infection (SOFA score
of ≥2). In-hospital mortality
>10%
Septic Shock
A subset of sepsis with profound circulatory, cellular, and metabolic abnormalities with higher mortality. Vasopressor requirement (MAP ≥ 65 mmHg) and serum lactate level > 2 mmol/L in the absence of hypovolemia. In-hospital mortality > 40%