Stefano Cortellini DVM, MVetMed, DACVECC, DECVECC, Amy E. DeClue DVM, MSc, DACVIM, Massimo Giunti DVM, DECVECC, Robert Goggs BVSc, PhD, DACVECC, DECVECC, Kate Hopper DVM, PhD, DACVECC, Julie M. Menard DVM DACVECC, Rodrigo C. Rabelo DVM, DSc, Elizabeth A. Rozanski DVM, DACVECC, Claire R. Sharp DVM, DACVECC, Deborah C. Silverstein DVM, DACVECC, Virginia Sinnott-Stutzman DVM, DACVECC, Giacomo Stanzani DVM, MVetMed, DACVECC, DECVECC
{"title":"定义小动物败血症。","authors":"Stefano Cortellini DVM, MVetMed, DACVECC, DECVECC, Amy E. DeClue DVM, MSc, DACVIM, Massimo Giunti DVM, DECVECC, Robert Goggs BVSc, PhD, DACVECC, DECVECC, Kate Hopper DVM, PhD, DACVECC, Julie M. Menard DVM DACVECC, Rodrigo C. Rabelo DVM, DSc, Elizabeth A. Rozanski DVM, DACVECC, Claire R. Sharp DVM, DACVECC, Deborah C. Silverstein DVM, DACVECC, Virginia Sinnott-Stutzman DVM, DACVECC, Giacomo Stanzani DVM, MVetMed, DACVECC, DECVECC","doi":"10.1111/vec.13359","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To discuss the definitions of sepsis in human and veterinary medicine.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>International, multicenter position statement on the need for consensus definitions of sepsis in veterinary medicine.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>Veterinary private practice and university teaching hospitals.</p>\n </section>\n \n <section>\n \n <h3> Animals</h3>\n \n <p>Dogs and cats.</p>\n </section>\n \n <section>\n \n <h3> Interventions</h3>\n \n <p>None.</p>\n </section>\n \n <section>\n \n <h3> Measurements and Main Results</h3>\n \n <p>Sepsis is a life-threatening condition associated with the body's response to an infection. In human medicine, sepsis has been defined by consensus on 3 occasions, most recently in 2016. In veterinary medicine, there is little uniformity in how sepsis is defined and no consensus on how to identify it clinically. Most publications rely on modified criteria derived from the 1991 and 2001 human consensus definitions. There is a divergence between the human and veterinary descriptions of sepsis and no consensus on how to diagnose the syndrome. This impedes research, hampers the translation of pathophysiology insights to the clinic, and limits our abilities to optimize patient care. It may be time to formally define sepsis in veterinary medicine to help the field move forward. In this narrative review, we present a synopsis of prior attempts to define sepsis in human and veterinary medicine, discuss developments in our understanding, and highlight some criticisms and shortcomings of existing schemes.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This review is intended to serve as the foundation of current efforts to establish a consensus definition for sepsis in small animals and ultimately generate evidence-based criteria for its recognition in veterinary clinical practice.</p>\n </section>\n </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"34 2","pages":"97-109"},"PeriodicalIF":1.1000,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.13359","citationCount":"0","resultStr":"{\"title\":\"Defining sepsis in small animals\",\"authors\":\"Stefano Cortellini DVM, MVetMed, DACVECC, DECVECC, Amy E. DeClue DVM, MSc, DACVIM, Massimo Giunti DVM, DECVECC, Robert Goggs BVSc, PhD, DACVECC, DECVECC, Kate Hopper DVM, PhD, DACVECC, Julie M. Menard DVM DACVECC, Rodrigo C. Rabelo DVM, DSc, Elizabeth A. Rozanski DVM, DACVECC, Claire R. Sharp DVM, DACVECC, Deborah C. Silverstein DVM, DACVECC, Virginia Sinnott-Stutzman DVM, DACVECC, Giacomo Stanzani DVM, MVetMed, DACVECC, DECVECC\",\"doi\":\"10.1111/vec.13359\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To discuss the definitions of sepsis in human and veterinary medicine.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>International, multicenter position statement on the need for consensus definitions of sepsis in veterinary medicine.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Setting</h3>\\n \\n <p>Veterinary private practice and university teaching hospitals.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Animals</h3>\\n \\n <p>Dogs and cats.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Interventions</h3>\\n \\n <p>None.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Measurements and Main Results</h3>\\n \\n <p>Sepsis is a life-threatening condition associated with the body's response to an infection. In human medicine, sepsis has been defined by consensus on 3 occasions, most recently in 2016. In veterinary medicine, there is little uniformity in how sepsis is defined and no consensus on how to identify it clinically. Most publications rely on modified criteria derived from the 1991 and 2001 human consensus definitions. There is a divergence between the human and veterinary descriptions of sepsis and no consensus on how to diagnose the syndrome. This impedes research, hampers the translation of pathophysiology insights to the clinic, and limits our abilities to optimize patient care. It may be time to formally define sepsis in veterinary medicine to help the field move forward. 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To discuss the definitions of sepsis in human and veterinary medicine.
Design
International, multicenter position statement on the need for consensus definitions of sepsis in veterinary medicine.
Setting
Veterinary private practice and university teaching hospitals.
Animals
Dogs and cats.
Interventions
None.
Measurements and Main Results
Sepsis is a life-threatening condition associated with the body's response to an infection. In human medicine, sepsis has been defined by consensus on 3 occasions, most recently in 2016. In veterinary medicine, there is little uniformity in how sepsis is defined and no consensus on how to identify it clinically. Most publications rely on modified criteria derived from the 1991 and 2001 human consensus definitions. There is a divergence between the human and veterinary descriptions of sepsis and no consensus on how to diagnose the syndrome. This impedes research, hampers the translation of pathophysiology insights to the clinic, and limits our abilities to optimize patient care. It may be time to formally define sepsis in veterinary medicine to help the field move forward. In this narrative review, we present a synopsis of prior attempts to define sepsis in human and veterinary medicine, discuss developments in our understanding, and highlight some criticisms and shortcomings of existing schemes.
Conclusions
This review is intended to serve as the foundation of current efforts to establish a consensus definition for sepsis in small animals and ultimately generate evidence-based criteria for its recognition in veterinary clinical practice.
期刊介绍：
The Journal of Veterinary Emergency and Critical Care’s primary aim is to advance the international clinical standard of care for emergency/critical care patients of all species. The journal’s content is relevant to specialist and non-specialist veterinarians practicing emergency/critical care medicine. The journal achieves it aims by publishing descriptions of unique presentation or management; retrospective and prospective evaluations of prognosis, novel diagnosis, or therapy; translational basic science studies with clinical relevance; in depth reviews of pertinent topics; topical news and letters; and regular themed issues.
The journal is the official publication of the Veterinary Emergency and Critical Care Society, the American College of Veterinary Emergency and Critical Care, the European Veterinary Emergency and Critical Care Society, and the European College of Veterinary Emergency and Critical Care. It is a bimonthly publication with international impact and adheres to currently accepted ethical standards.
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