Medicina Interna
ISSN 0872-671X
CARNEIRO, AH; ANDRADE-GOMES, J POVOA, P. Dear Sepsis-3, we Are Sorry to Say, But we do Not Like You. []. , 23, 4, pp.56-60. ISSN 0872-671X.
Authors have reviewed recent JAMA publications changing sepsis and septic shock definitions and they express their point of view and concern with Sepsis-3 task force proposals, stressing six relevant points: disagreement with the divorce of the sepsis concept with infections definition and concept; disagreement with the elimination of systemic inflammatory response syndrome (SIRS) concept and with the suppression of the concept of non-infectious SIRS origin; disagreement with the proposal of two sepsis definitions, one for the ICU and the other for remaining ambiance; disagreement with the selection of sequential organ failure assessment (SOFA) to define sepsis; disagreement with the fact that Sepsis-3 can delay the diagnosis and consequently compromise early proper treatment; surprised by the independent publication of Sepsis-3 task force definitions without link to the Surviving Sepsis Campaign recommendations expected for 2016.
: Consensus; Sepsis; Shock; Septic; Systemic Inflammatory Response Syndrome.