Sepsis screening tools ‘inadequate’, researchers say

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Sepsis screening tools ‘inadequate’, researchers say
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There are about 123,000 cases of sepsis each year in England.

Systems used by emergency healthcare workers to detect sepsis should be improved, researchers say

A German study explored the effectiveness of four internationally-recommended screening tools for the illness – NEWS-2 , qSOFA , MEWS and SIRS . “The screening tools recommended in the Surviving Sepsis Campaign guidelines differed greatly in terms of which and how many patients were identified as possibly having sepsis.”

Mrs Piedmont added: “The incidence and death rates for sepsis and the low recognition of it emphasise the need for better awareness and more frequent use of screening tools.“Ours is the first study comparing all four screening tools and showing the predictive usefulness of applying the screening tools to all adult patients independently of any presumptions or preliminary diagnoses by emergency medical services.

“In the UK, we do have the advantage of the NEWS-2 screening tool which has performed well in the study. “Our recommendation is to use a combination of clinical acumen with NEWS-2 to identify those patients at a higher risk of deterioration with infection, with either the presence of a red flag or a NEWS-2 score of seven or above to identify those patients to be treated as sepsis.”

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