Table 1.

American Burn Association suggested definitions for utilising systemic inflammatory response syndrome criteria in burn patients

The sepsis trigger in adult burn patient includes at least three of the following:

Temperature >39°C or <36.5°C

Progressive tachycardia

Adults >110 bpm

Progressive tachypnoea

>25 bpm not ventilated

Minute ventilation >12 l/minute ventilated

Thrombocytopaenia (not applicable until 3 days after initial resuscitation)

Adults <100,000/μl

Hyperglycaemia (absence of pre-existing diabetes mellitus)

Untreated plasma glucose >200 mg/dl

Insulin resistance >7 units/hour insulin intravenous drip

>25% increase in insulin requirements over 24 hours

Inability to continue enteral feed >24 hours

Abdominal distention

Residual volume 2 × feeding rate

Diarrhoea >2,500 ml/day