Suspected sepsis: summary of NICE guidanceBMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j3993 (Published 23 August 2017) Cite this as: BMJ 2017;358:j3993
The following changes have been made to the infographic in this Practice paper (BMJ 2016;354:i4030, doi:10.1136/bmj.i4030):
Added a high risk criterion “No response to social cues” for ages 0–4
Changed value for moderate to high risk breathing criterion for age 3–4 from: 30–39 to 35–39
Split elevated temperature criterion in two: Under 3 months of age / 38+°C / high risk 3–6 months of age / 39+°C / moderate to high risk
Changed “temperature under 36°C” criterion for ages 5+from: High risk to Moderate to high risk
Changed heart rate criterion for age 12+from: 91–129 (moderate to high risk) and 130+(high risk) to 91–130 (moderate to high risk) and 131+(high risk)
Changed high risk systolic BP for age 12+from: under 90mmhg to
90mmHg or less
Extended “Oxygen saturation 92% or less in air” to cover ages 5–11 as well as ages 0–4.
Added “Apnoea” criterion for ages 0–4.
Removed “Moderate or severe chest indrawing for ages 0–11.
Removed “Rigors” in 12+group.
Removed “Increased work of breathing” in 12+group.
Changed “Pale or flushed” criterion to: “Pallor of skin, lips or tongue.”