[Problems of diagnosis of surgical sepsis in children].
Results of treatment of 263 children with surgical sepsis aged from 3 to 14 years were analyzed. Diagnosis of sepsis was based on recommendations of ACCP/SCCM (1991). For diagnosis of sepsis in children it is recommended to use criteria of syndrome of systemic inflammatory response (SSIR) in M.Parker's modification, scale of assessment of severity state - PRISM, classification of organ insufficiency by L. Doughty et al. Diagnosis of sepsis may be regarded as timely when 3 and more symptoms of SSIR persist in a child with pyoinflammatory disease during 24 hours of intensive care and in PRISM scale severity corresponding to experted lethality > or = 1,0%. When syndromes of multiorgan insufficiency are revealed, diagnosis of sepsis must be regarded as delayed.
Mironov
P I
PI
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D007249:Inflammation; D009102:Multiple Organ Failure / Q000382:microbiology*; D012189:Retrospective Studies; D018805:Sepsis / Q000150:complications / Q000175:diagnosis* / Q000209:etiology* / Q000401:mortality; D012720:Severity of Illness Index; D013492:Suppuration; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D013997:Time Factors