Holub Michal, Beran Ondřej
Dept. of Infectious Diseases of First Faculty of Medicine and Military University Hospital, Prague, Czech Republic, e-mail:
Klin Mikrobiol Infekc Lek. 2016 Dec;22(4):141-143.
The article discusses new definitions for sepsis and septic shock called Sepsis-3. The definitions are put in the historical and factual context of the 1992 definition and their extended 2003 version. Also mentioned are potential impacts on clinical practice, with it-being clear that the new definition shifts the sepsis issues more to intensive care as it emphasizes organ failure. In prehospital care, emergency departments and general wards of hospitals where patients are triaged, a new scoring system, the so-called quick SOFA, may be used. In this approach, stress is placed on impaired consciousness, a drop in systolic pressure and tachypnea but its role in more precise identification is yet to be verified in common clinical practice.
本文讨论了名为“脓毒症-3”的脓毒症和脓毒性休克的新定义。这些定义置于1992年定义及其2003年扩展版本的历史和实际背景中。文中还提到了对临床实践的潜在影响,很明显新定义将脓毒症问题更多地转向重症监护,因为它强调器官功能衰竭。在院前护理、急诊科以及对患者进行分诊的医院普通病房中,可以使用一种新的评分系统,即所谓的快速序贯器官衰竭评估(qSOFA)。在这种方法中,重点关注意识障碍、收缩压下降和呼吸急促,但它在更精确识别方面的作用在普通临床实践中尚待验证。