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

Shapkin Yu. G., Khaleev I. A., Stekolnikov N. Yu., Mukhaev I. R.

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