Intended for healthcare professionals


Suspected sepsis: summary of NICE guidance

BMJ 2017; 358 doi: (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.”

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