Box I : Systemic Inflammatory Response Syndrome (SI RS): SIRS is present if there are at least 2 of: Temperature >38.3 or New confusion/drowsiness <36.0°C JIL Pulse > 90/min 2 4.G 01 IIBC RR >10/min Blood glucose >7.7 mmoi!L (not if diabetic) Box 2 : Defining the severity of sepsis Severity Definition Group mortality + SIRS presumed or confirmed 10% infection sepsis + Sepsis oneor more organ JS% dysfunction criteria (other than shock) + Septic Sepsis shock"' 50% shock *Shock criteria: >4mmolj1 lactate at any time point Hypotension persisting after JOml/kg intravenous fluid,defined as Systolic Blood Pressure <90mmHg, Hean Blood Pressure <65mmHg,or a >40mmHg fall of from the patient's usual Systolic Blood Pressure UKST PRIMARY CARE TOOLKIT 2014 j 5
Box I : Systemic Inflammatory Response Syndrome (SI RS): SIRS is present if there are at least 2 of: Temperature >38.3 or <36.0°C New confusion/drowsiness Pulse > 90/min IIBC 2 01 4.G JIL RR >10/min Blood glucose >7.7 mmoi!L (not if diabetic) Box 2 : Defining the severity of sepsis Severity Definition Group mortality sepsis SIRS + presumed or confirmed infection 10% Sepsis + oneor more organ dysfunction criteria (other than shock) JS% Septic shock Sepsis + shock"' 50% *Shock criteria: lactate >4mmolj1 at any time point Hypotension persisting after JOml/kg intravenous fluid,defined as Systolic Blood Pressure <90mmHg, Hean Blood Pressure <65mmHg,or a fall of >40mmHg from the patient's usual Systolic Blood Pressure UKST PRIMARY CARE TOOLKIT 2014 j 5