The Flow Chart for Infected Patients

Do any 2 apply?

  • Temperature less than 36ºC or more than 38.3ºC
  • Respiratory Rate more than 20/minute
  • Heart Rate more than 90/minute
  • Acutely altered mental state
  • WBC >12x109/L or <4x109/L
  • CRP >100

 

NO

Arrow Right

Treat as schedule A

? need for Admission

(Minor to Moderate Infection)

Arrow DownYES

 

Do any apply?

  • Systolic Blood Pressure less than 90 mm Hg
  • Mean Arterial Pressure less than 65 mm Hg
  • Lactate greater than 2
  • Urine output < 0.5ml/kg/hr OR creatinine >177
  • SpO2 < 90%
  • Platelets < 100
  • INR > 1.5
  • Bilirubin >34    

NO

Arrow Right 
(sepsis)

Treat as schedule B

Admit Patient

(Moderate to Severe Infection)

YES

Arrow Right
(severe sepsis)

Treat as schedule C

Admit patient

Serious Life Threatening Infection – mortality ≈ 35%

COMPLETE SEPSIS SIX PATHWAY