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. 2017 Aug;66(8):614-621.
doi: 10.1007/s00101-017-0316-2.

[New Sepsis-3 definition : Do we have to treat sepsis before we can diagnose it from now on?]

[Article in German]
T Schmoch  1 , M Bernhard  2 , F Uhle  3 , M Gründling  4 , T Brenner  3 , M A Weigand  3
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[New Sepsis-3 definition : Do we have to treat sepsis before we can diagnose it from now on?]

[Article in German]
T Schmoch et al. Anaesthesist. 2017 Aug.

Abstract

The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) have been available since the beginning of 2016. SEPSIS-3 completely replaces the old SIRS criteria in the definition of sepsis and defines sepsis from now on as "life-threatening organ dysfunction caused by a dysregulated host response to infection". However, it seems questionable whether in clinical practice the new definition is really superior to the old one. The most important question is the following: Is it helpful to have a definition that first recognizes a patient once organ dysfunction has occurred and the patient already needs intensive care?

Keywords: Criticisms; Prognosis estimate; SOFA score; Sepsis-3; qSOFA.

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