Pendekatan Sepsis dengan Skor SOFA
DOI:
https://doi.org/10.55175/cdk.v45i8.740Keywords:
Sepsis, Sequential Organ Failure Assessment (SOFA), quickSOFA, QuickSOFA (qSOFA)Abstract
Sequential Organ Failure Assessment (SOFA) score saat ini digunakan dalam pendekatan sepsis. Modifikasi skor SOFA, yaitu quickSOFA (qSOFA), dapat digunakan untuk identifikasi awal sepsis pada pasien yang curiga infeksi sebelum tersedianya hasil pemeriksaan penunjang. Dalam laporan kasus ini, seorang perempuan 50 tahun datang dengan keluhan sesak napas dan lemas. Dilakukan penilaian awal qSOFA dengan skor 2 berarti curiga sepsis, kemudian diidentifikasi disfungsi organ menggunakan skor SOFA dengan total skor 7. Pasien didiagnosis syok sepsis. Meskipun dengan resusitasi cairan adekuat, diperlukan vasopressor untuk menjaga MAP ≥65 mmHg. Pemberian antibiotik broad spectrum juga menjadi terapi utama karena tidak tersedia pemeriksaan kultur darah.
Sequential Organ Failure Assessment (SOFA) score is currently used in sepsis approach. Modification of SOFA scores - quickSOFA (qSOFA) - can be used to identify early sepsis in suspected patients prior to the availability of investigation results. In this case report, 50-year-old woman presents with shortness of breath and weakness. An initial assessment of qSOFA with score 2 means suspected sepsis; identification of organ dysfunction with SOFA score resulted a total score of 7. Patient was diagnosed with septic shock. Despite adequate fluid resuscitation, a vasopressor was needed to keep MAP ≥65 mmHg. Broad spectrum antibiotic is also given because of the unavailability of blood culture examination
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References
McLymont N, Glover GW. Scoring systems for the characterization of sepsis and associated outcomes. Ann Transl Med. 2016;4(24):527. doi: 10.21037/atm.2016.12.53
Marik PE, Taeb AM. SIRS, qSOFA and new sepsis definition. J Thorac Dis. 2017;9(4):943-5. doi: 10.21037/jtd.2017.03.125
Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, et al. The third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA. 2016;315:801-10.
Shankar-Hari M, Phillips GS, Levy ML, Seymour CW, Liu VX, Deutschman CS, et al. Developing a new definition and assessing new clinical kriteria for septic shock: For the third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA. 2016;315:775-87.
Seymour CW, Liu VX, Iwashyana TJ, Brunkhorst FM, Rea TD, Scherag A, et al. Assessment of clinical kriteria for sepsis: For the third internasional consensus definitions for sepsis and septic shock (Sepsis-3). JAMA. 2016; 315:762-74
Wang B. Surviving sepsis 2017 guidelines overview. Core EM [Internet]. 2017. Available from: https://coreem.net/core/srviving-sepsis-2017/
Rhodes A, Evans LE, Alhazzani W, Levy MM, Antonelli M, Ferrer R, et al. Surviving sepsis campaign: International guidelines for management of sepsis and septic shock: 2016. Intensive Care Med. 2017;43(3):304-77. doi: 10.1007/s00134-017-4683-6.
Williams JM, Greenslade JH, McKenzie JV, Chu K, Brown AFT, Lipman J, et al. SIRS, qSOFA and organ dysfunction: Insights from a prospective database of emergency department patients with infections. Chest. 2017;151:586-96
Freund Y, Lemachatti N, Krastinova E, Van Laer M, Claessens YE, Avondo A, et al. Prognostic accuracy of sepsis-3 kriteria for in-hospital mortality among patients with suspected infection presenting to the emergency department. JAMA. 2017;317:301-8
Raith EP, Udy AA, Bailey M, McGloughlin S, MacIsaac C, Bellomo R, et al. Prognostic accuracy of the sofa score, sirs kriteria, and qsofa score for in-hospital mortality among adults with suspected infection admitted to the intensive care unit. JAMA. 2017;317:290-300
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