The original article that used these criteria was in 1987, Chest 92:1032-36 (first author Roger Bone) titled “Early Methylpredisolone treatment for Septic Syndrome and the ARDS”. It was this article that first defied the septic syndrome and in that paper > 38.3 C was used because it translated closest to 101 F.
In 1989 in Critical Care Medicine 17:389-93 a second paper was published titled “Sepsis Syndrome: A valid clinical entity” again with Bone as first author. The temperature criteria was “Rectal Temperature > 101 F or < 96 F” which translated to 38.3 C In the “Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2012 published in Crit Care Med February 2013 41:580-637 the temperature criteria remains > 38.3 C. The 2004 and 2008 versions were also 38.3 C I do not know where the 38.0 comes from it is likely if the temperature is not a core temperature to compensate for the use of oral or auxiliary temps. In my mind the correct answer remains the same since 1987 – 38.3 C Some days it pays to be old, I was co-author on all these papers and can even vaguely remember all the debates we had concerning the criteria. Terry P. Clemmer, MD Director: Critical Care Medicine LDS Hospital Professor of Medicine University of Utah School of Medicine Salt Lake City, Utan 84143 Work Phone: 801-408-3661 Work Fax: 801-408-1668 From: [email protected] [mailto:[email protected]] On Behalf Of Ron Daniels Sent: Friday, February 21, 2014 3:44 PM To: Seckel, Maureen Cc: <[email protected]> Subject: Re: [Sepsis Groups] SIRS criteria 38: Bone, 1992. 38.3: Levy, 2001. Same consensus group, 10 years, different lead authors. 38.3 is current. R Dr Ron Daniels Chair: UK Sepsis Trust CEO: Global Sepsis Alliance Sent on the move from my iPhone, excuse brevity! On 19 Feb 2014, at 15:40, "Seckel, Maureen" <[email protected]<mailto:[email protected]>> wrote: Simple question. Why is SIRS criteria for Temperature written as 38 degrees for high in some articles and medical calculators and 38.3 in others. Which really is it? The SS Campaign guidelines and data base uses 38.3. Thanks, Maureen A. Seckel, APN, ACNS-BC, CCNS, CCRN CNS Medical Pulmonary Critical Care Sepsis Coordinator Christiana Care Health System 4755 Ogletown-Stanton Road 3E29 Newark, DE 19718 Office 302 733-6023 _______________________________________________ Sepsisgroups mailing list [email protected]<mailto:[email protected]> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
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