Developed by top pediatric hospitalists, Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, 3rd Edition, is sure to become your go-to resource from initial patient evaluation all the way through discharge management. Quickly obtain the essential information for managing a wide range of pediatric medical conditions in patients who have been admitted to the hospital with this trusted, pocket-sized reference. Available for purchase at https://www.aap.org/caring-for-the-hospitalized-child-a-handbook-of-inpatient-pediatrics-3rd-edition-paperback/
Rebecca Ivancie, MD, FAAP, "Sepsis", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Sepsis historically has been defined as infection and the presence of systemic inflammatory response syndrome (SIRS). However, the SIRS criteria have poor sensitivity and specificity for both adult and pediatric sepsis. In 2016, the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), designed primarily for adult patients, defined the following:
“Organ dysfunction” in pediatric patients is still ambiguous, as the various pediatric scoring systems in use are primarily laboratory based and have not been used as predictive tools outside of a critical care environment. Thus, the definition of sepsis has undergone many transformations, and a formal pediatric definition...