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The concept of sepsis‑3 in a group of patients with severe erysipelas – what has changed in practical aspect?

Shapkin Yu. G.  (Saratov State Medical University)

Khaleev I. A.  (Saratov State Medical University)

Stekolnikov N. Yu.  (Saratov State Medical University)

Mukhaev I. R.  (Saratov State Medical University)

A comparative analysis of diagnostic criteria for sepsis in different clinical concepts - ACCP / SCCM and "Sepsis-3" in patients with severe erysipelas is represented. It was shown, that in 53% of cases, the primary diagnosis based on the presence of signs of a systemic inflammatory reaction within the “Sepsis-3” concept is overdiagnosis of sepsis. However, 29% of patients in this group have had organ dysfunctions. Using the concept of a systemic inflammatory response as the most affordable way to assess the severity of a patient’s condition with a severe form of erysipelas retains its clinical relevance in the early stages of a patient's admission as a method of identifying patients threatened by the development of organ failure.

Keywords:sepsis-3, systemic inflammatory reaction, erysipelas, SOFA scale organ dysfunction
 

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Citation link:
Shapkin Y. G., Khaleev I. A., Stekolnikov N. Y., Mukhaev I. R. The concept of sepsis‑3 in a group of patients with severe erysipelas – what has changed in practical aspect? // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2019. -№1. -С. 140-143
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