[脓毒症的新定义及诊断标准——瑞典对脓毒症-3的应用]

[New definition of and diagnostic criteria for sepsis - Swedish use of Sepsis-3].

作者信息

Brink Magnus, Cronqvist Jonas, Fagerberg Anneli, Lindgren Pär, Lipcsey Miklos, Okas Mantas, Kurland Lisa

机构信息

Sahlgrenska universitetssjukhuset - Infektionskliniken Goteborg, Sweden Sahlgrenska University Hospital - Infectious Diseases Goteburg, Sweden.

Skanes universitetssjukhus Malmo - Infektionskliniken Malmo, Sweden Skanes universitetssjukhus Malmo - Infektionskliniken Malmo, Sweden.

出版信息

Lakartidningen. 2018 Mar 26;115:E3W9.

PMID:29583161

Abstract

A working group representing the Swedish Society for Infectious Diseases, the Swedish Society for Anaesthesiology and Intensive Care, the Swedish Society for Emergency Medicine, and the Swedish Intensive Care Registry have reached consensus on how to adopt the new sepsis definition, Sepsis-3, in Sweden. The recommendation is to implement the new definitions and diagnostic criteria for sepsis and septic shock, but not the use of the new screening tool for sepsis, quick-SOFA, as it needs prospective validation and since it is not clear if quick-SOFA is more useful than the currently used general triage and early warning score systems. The group recommends the use of the sfollowing ICD-10 codes: R65.1 for sepsis and R57.2 for septic shock.

摘要

一个由瑞典传染病协会、瑞典麻醉学与重症监护协会、瑞典急诊医学协会以及瑞典重症监护登记处组成的工作组，就如何在瑞典采用新的脓毒症定义（Sepsis-3）达成了共识。建议实施脓毒症和脓毒性休克的新定义及诊断标准，但不采用新的脓毒症筛查工具快速序贯器官衰竭评估（quick-SOFA），因为它需要前瞻性验证，而且尚不清楚quick-SOFA是否比目前使用的一般分诊和早期预警评分系统更有用。该小组建议使用以下ICD-10编码：脓毒症用R65.1，脓毒性休克用R57.2。