I think Sue's question gets at the larger question of the need for testing of 
ALL patients with SIRS criteria and evidence of infection.  All such patients 
should be directed by their primary care doctors to come to the ER for sepsis 
evaluation?  Does the generally healthy college kid with SIRS criteria and a 
strep throat really need a lactate and blood cultures drawn?  Probably not.  
I'm curious to know if there is any literature to address this sort of issue.  
When does sepsis screening yield to common sense?

Steve Chabala D.O., F.A.C.E.P.
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