Abstract

CARNEIRO, AH; ANDRADE-GOMES, J  and  POVOA, P. Dear Sepsis-3, we Are Sorry to Say, But we do Not Like You. Medicina Interna [online]. 2016, vol.23, n.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.

Keywords : Consensus; Sepsis; Shock; Septic; Systemic Inflammatory Response Syndrome.

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