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Risk stratification tool for children aged 5-11 years with suspected sepsis

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Risk stratification tool for children aged 5-11 years with suspected sepsis

 

Category

Age

High Risk Criteria

Moderate to high risk criteria

Low Risk Criteria

Behaviour

Any

Objective evidence of altered behaviour or mental state

Appears ill to a healthcare professional

Does not wake or if roused does not stay awake

Not behaving normally

Decreased activity

Parent or carer concern that the child is behaving differently from usual

Behaving normally

Respiratory

Any

 

 

Oxygen saturation of less than 90% in air or increased oxygen requirement over baseline

 

 

 

Oxygen saturation of less than 92% in air or increased oxygen requirement over baseline

 

 

No high risk or moderate to high risk criteria met

Aged 5 years

Raised respiratory rate: 29 breaths per minute or more

Raised respiratory rate: 24-28 breaths per minute

No high risk or moderate to high risk criteria met

Aged 6 – 7 years

 

Raised respiratory rate: 27 breaths per minute or more

Raised respiratory rate: 24-26 breaths per minute

No high risk or moderate to high risk criteria met

Aged 8–11 years

Raised respiratory rate: 25 breaths per minute or more

 

Raised respiratory rate: 22-24 breaths per minute

No high risk or moderate to high risk criteria met

Circulation and hydration

Any

Heart rate less than 60 beats per minute

Capillary refill time of 3 seconds or more

Reduced urine output

For catheterised patients, passed less than 1 ml/kg of urine per hour

No high risk or moderate to high risk criteria met

Aged 5 years

Raised heart rate: 130 beats per minute or more

Raised heart rate: 120-129 beats per minute

No high risk or moderate to high risk criteria met

Aged 6-7 years

Raised heart rate: 120 beats per minute or more

Raised heart rate: 110-119 beats per minute

No high risk or moderate to high risk criteria met

Aged 8-11 years

Raised heart rate: 115 beats per minute or more

Raised heart rate: 105-114 beats per minute

No high risk or moderate to high risk criteria met

Skin

Any

Mottled or ashen appearance

Cyanosis of skin, lips or tongue

Non-blanching rash of skin

Temperature

Any

Tympanic temperature less than 36°C

Other

Any

Leg pain Cold hands or feet

No high risk or moderate to high risk criteria met

The UK Sepsis Trust have produced a form for evaluation of possible sepsis for use in primary care (2):

 

Reference:


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