Table 3.
SCCM/ESICM/ACCP/ATS/SIS Expanded diagnostic criteria for sepsis |
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Documented or suspected infection and some of the following: |
General parameters: Fever Hypothermia Tachycardia Tachypnea Altered mental status Significant edema or positive fluid balance Hyperglycemia (in the absence of diabetes) |
Inflammatory parameters: Leukocytosis Leukopenia Normal white blood cell count with > 10% immature forms Plasma C reactive protein >2 SD above normal value Plasma procalcitonin >2 SD above the normal value |
Hemodynamic parameters: Arterial hypotension Mixed venous oxygen saturation >70% Cardiac index >3.5 1 min−1 m−2 |
Organ dysfunction parameters: Arterial hypoxemia Acute oliguria Creatinine increase Coagulation abnormalities Ileus Thrombocytopenia Hyperbilirubinemia |
Tissue perfusion parameters: Hyperlactatemia Decreased capillary refill or mottling |
Adapted from Levy et al. (34).