Editorials
15 February 1991

Sepsis, the Sepsis Syndrome, Multi-Organ Failure: A Plea for Comparable Definitions

Publication: Annals of Internal Medicine
Volume 114, Number 4
Precision in language is no trivial matter. Considerable confusion arises when terms are defined differently by different clinical subspecialties, or even within a given field. Such is the predicament that has arisen regarding the related, but overlapping terms used for the various degrees of severe clinical infection. Everyone has a vague notion of what the terms bacteremia, septicemia, sepsis, the sepsis syndrome, and septic shock mean. Too often, however, these words are used interchangeablyin speech and in the professional literature, which can lead to considerable bewilderment. Because clinical protocols are based on specific criteria understood by the developers of a...

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References

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Bone RFisher CClemmer TSlotman GMetz C, and Balk R. A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis and septic shock. N Engl J Med. 1987;317:353-8.
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. Effect of high-dose glucocorticoid therapy on mortality in patients with clinical signs of sepsis. N Engl J Med. 1987;317:659-65.
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Stedman's Medical Dictionary, 25th ed. Baltimore: Williams & Wilkins;1990.
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Kreger BCraven D, and McCabe W. Gram-negative bacteremia. IV. Re-evaluation of clinical features and treatment in 612 patients. Am J Med. 1980;68:344-55.
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Parker M and Parrillo J. Septic shock. Hemodynamics and pathogenesis. JAMA. 1983;250:3324-7.
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Knaus WDraper EWagner D, and Zimmerman J. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13:818-29.
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Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 114Number 415 February 1991
Pages: 332 - 333

History

Published in issue: 15 February 1991
Published online: 1 December 2008

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Roger C. Bone, MD
Rush-Presbyterian-St. Luke's Medical Center Chicago, IL 60612

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Roger C. Bone. Sepsis, the Sepsis Syndrome, Multi-Organ Failure: A Plea for Comparable Definitions. Ann Intern Med.1991;114:332-333. doi:10.7326/0003-4819-114-4-332

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