Table I.
Screening Criteria | Confirmatory Criteria |
---|---|
Presence of either (1) or (2): | Presence of any 1 of the following, without an alternative explanation: |
1. All 4 of the following: | 1. PaO2/FiO2 < 280 (intubated) or when using a 40% face mask (not intubated) |
Rectal temperature >38.3°C or <35.6°C | 2. Arterial pH < 7.30 |
Respiratory rate of >20/min or mechanical ventilation |
3. Urine output < 30 ml/hour |
Heart rate > 90 beats/min | 4. Systolic blood pressure < 90 mm Hg or fall in systolic blood pressure > 40 mm Hg sustained for 2 hours despite fluid challenge |
Clinical evidence of infection | 5. Systemic vascular resistance < 800 dynes.s.cm2 |
2. One or more blood cultures positive for a pathogen at 48 hours after the onset of sepsis |
6. Prothrombin time or partial thromboplastin time greater than normal or platelets > 100×106/l or platelets decreased to <50% of most recent measurement before current day |
7. Deterioration in mental status within 24 hours |