introduction Flashcards
colonisation
the presence of a microbe in the human body without an inflammatory response
infection
inflammation due to a microbe
bacteraemia
the presence of viable bacteria in the blood
sepsis
the dysregulated host response to infection - new definition of sepsis
technical sepsis defition
life-threatening organ dysfunction caused by a dysregulated host response to infection
septic shock
is a subset of sepsis with circulatory and cellular/metabolic dysfunction associated with a higher risk of mortality
Sepsis 6 bundle
SIRS has superseded
and different criteria used now
SIRS
mislabelling because so overly sensitive, more antibiotics used instead
SOFA
Sequential Organ function Assessment Score:
respirtation coagulation Liver cvd Central nervous system: glasgow coma scale Renal
qSOFA
quick sofa assessment:
RR >22bpm
sBP <100mmHg
Altered GCS
Screening for outcome rather than diagnosis
0 = mortality <1% 1 = mortality 2-3% >=2 = Mortality >=10%
with SIRS:
removal of severe sepsis
only simple infection, sepsis and septic shock
sepsis with SIRS:
infection and organ failure (may include hypotension, hyperlactaemia or vasopressors)
septic shock with SIRS
attempt of resuscitation has been made